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General NPI Number Information
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NPI Number | 1841616745
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Entity Type | Individual
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Provider Name | ABU KOROMA CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/16/2014
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1800 MULBERRY ST
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City | SCRANTON
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State | PA
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Zip | 18510-2369
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Country | US
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Telephone | 570-703-8259
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 N CHARLES ST STE 400
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City | BALTIMORE
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State | MD
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Zip | 21201-5594
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Country | US
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Telephone | 570-271-6144
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R178951
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN625747
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 190105
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001309107
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2372860
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 101461
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN2372860
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 10476
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License Number State | CT
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Taxonomy #9
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN625747
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License Number State | PA
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Taxonomy #10
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024190863
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License Number State | VA
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Taxonomy #11
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R178951
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License Number State | MD
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Taxonomy #12
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R178951
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License Number State | MD
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