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General NPI Number Information
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NPI Number | 1013374776
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Entity Type | Individual
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Provider Name | ANGELA GEDDES ED.S.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 505 ARLINGTON DR
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City | CHARLESTON
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State | SC
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Zip | 29414-5006
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Country | US
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Telephone | 843-606-0136
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Fax |
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Provider Business Mailing Address
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Address Line | 505 ARLINGTON DR
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City | CHARLESTON
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State | SC
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Zip | 29414-5006
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Country | US
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Telephone | 843-606-0136
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 21189594
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 545684
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License Number State | SC
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