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General NPI Number Information
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NPI Number | 1083414536
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Entity Type | Individual
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Provider Name | ANGELA MARIE ATEN FNP-C, ENP-C
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Gender | Female
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 601 PARK ST
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City | HONESDALE
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State | PA
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Zip | 18431-1498
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Country | US
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Telephone | 570-253-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 PRATT RD
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City | HOP BOTTOM
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State | PA
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Zip | 18824-7943
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Country | US
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Telephone | 570-690-8850
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SP032146
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | SP032199
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License Number State | PA
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