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General NPI Number Information
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NPI Number | 1922414747
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Entity Type | Individual
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Provider Name | BETINA BOAMAH OFORI PNP, RN
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Gender | Female
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 834 W MEETING ST STE C
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City | LANCASTER
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State | SC
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Zip | 29720-6220
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Country | US
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Telephone | 803-313-3846
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Fax |
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Provider Business Mailing Address
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Address Line | 1170 BANNOCKBURN AVE
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City | ROCK HILL
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State | SC
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Zip | 29732-1095
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Country | US
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Telephone | 703-589-6186
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 18988
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License Number State | SC
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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 | 18988
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License Number State | SC
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