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General NPI Number Information
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NPI Number | 1831327626
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Entity Type | Individual
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Provider Name | KWEKU GRANT-ACQUAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 494 N MOUNTAIN AVE
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City | UPLAND
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State | CA
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Zip | 91786-5178
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Country | US
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Telephone | 909-552-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 14726 RAMONA AVE STE 203
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City | CHINO
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State | CA
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Zip | 91710-5730
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Country | US
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Telephone | 626-305-9100
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Fax | 626-305-0152
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | A126202
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A126202
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License Number State | CA
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