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General NPI Number Information
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NPI Number | 1104679067
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Entity Type | Individual
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Provider Name | ANGELICA HOPKINS
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Gender | Female
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 328 THOMAS MORE PKWY STE 102
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3488
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Country | US
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Telephone | 859-431-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 HUCKLEBERRY LN
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City | RISING SUN
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State | IN
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Zip | 47040-9391
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Country | US
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Telephone | 812-584-8413
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 258975
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33011664A
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License Number State | IN
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