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General NPI Number Information
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NPI Number | 1861131591
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Entity Type | Individual
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Provider Name | NANA YAW BOAMAH-MENSAH DDS
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Gender | Male
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1313 W BOGART RD STE D
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City | SANDUSKY
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State | OH
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Zip | 44870-5792
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Country | US
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Telephone | 419-627-1255
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Fax |
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Provider Business Mailing Address
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Address Line | 348 SHERIDAN AVE
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City | ALBANY
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State | NY
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Zip | 12206-3134
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Country | US
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Telephone | 518-542-5052
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.028169
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License Number State | OH
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