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General NPI Number Information
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NPI Number | 1861651846
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Entity Type | Individual
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Provider Name | JOSEPHINE KWEKU-DEITZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 700 MELVIN AVE STE 7A
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1515
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Country | US
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Telephone | 410-280-2260
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Fax |
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Provider Business Mailing Address
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Address Line | 3046 BLACKSMITH LN
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City | HUNTINGTOWN
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State | MD
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Zip | 20639-2346
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Country | US
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Telephone | 410-949-6610
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | D0071532
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License Number State | MD
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