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General NPI Number Information
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NPI Number | 1033481684
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Entity Type | Individual
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Provider Name | ANGELA J ROSE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2012
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1414 W FAIR AVE SUITE 249
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City | MARQUETTE
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State | MI
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Zip | 49855-2675
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Country | US
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Telephone | 906-225-3333
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Fax | 906-225-3788
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Provider Business Mailing Address
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Address Line | 405 US HIGHWAY 41
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City | NEGAUNEE
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State | MI
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Zip | 49866-1327
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Country | US
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Telephone | 906-475-6312
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Fax | 906-475-0257
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704247086
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License Number State | MI
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