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General NPI Number Information
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NPI Number | 1104506872
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Entity Type | Individual
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Provider Name | ANGELA CAYE MARAL APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 10810 FARNAM DR STE 110
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City | OMAHA
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State | NE
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Zip | 68154-3257
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Country | US
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Telephone | 531-484-3155
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Fax | 833-907-2284
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Provider Business Mailing Address
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Address Line | 10810 FARNAM DR STE 110
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City | OMAHA
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State | NE
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Zip | 68154-3257
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Country | US
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Telephone | 531-484-3155
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Fax | 833-907-2284
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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 | 114613
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 114613
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License Number State | NE
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