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General NPI Number Information
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NPI Number | 1063455046
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Entity Type | Individual
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Provider Name | ANGELA TODD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | PROVENA COVENANT MEDICAL CENTER 1400 WEST PARK STREET
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City | URBANA
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State | IL
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Zip | 61801
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Country | US
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Telephone | 217-337-4520
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 HEATHROW DR #13
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City | CHAMPAIGN
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State | IL
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Zip | 61820-2387
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Country | US
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Telephone | 920-229-2967
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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