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General NPI Number Information
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NPI Number | 1902239007
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Entity Type | Individual
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Provider Name | ALBERT KOFI YAMOAH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 3502 CORINTH PKWY # 400
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City | CORINTH
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State | TX
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Zip | 76208-5481
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Country | US
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Telephone | 940-353-5437
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Fax | 940-247-7077
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Provider Business Mailing Address
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Address Line | 2904 GROVELAND CT
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City | DENTON
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State | TX
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Zip | 76210-0587
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Country | US
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Telephone | 214-455-4487
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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 | 29367
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7133
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 108
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 29367
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License Number State | TX
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