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NPI 1861467938

NPI 1861467938 : ADWOA GYAMFUA ESSUMAN M.D : UNIONDALE, NY

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General NPI Number Information
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    NPI Number           |    1861467938
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    Entity Type          |    Individual 
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    Provider Name        |    ADWOA GYAMFUA ESSUMAN M.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/21/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    451 UNIONDALE AVE 
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    City                 |    UNIONDALE
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    State                |    NY
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    Zip                  |    11553-2232
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    Country              |    US
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    Telephone            |    516-485-2277
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    Fax                  |    516-485-2229
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Provider Business Mailing Address
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    Address Line         |    8 NEW YORK AVE 
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    City                 |    FREEPORT
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    State                |    NY
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    Zip                  |    11520-2017
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    Country              |    US
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    Telephone            |    516-208-3215
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    Fax                  |    516-485-2278
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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        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    212467-1
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    License Number State |    NY
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