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NPI 1114713849

NPI 1114713849 : ANGEL DAUG : CHESTER, NJ

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General NPI Number Information
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    NPI Number           |    1114713849
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    Entity Type          |    Individual 
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    Provider Name        |    ANGEL DAUG
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/18/2025
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    Last Update Date     |    04/23/2025
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Provider Practice Location Address
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    Address Line         |    230 POTTERSVILLE RD 
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    City                 |    CHESTER
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    State                |    NJ
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    Zip                  |    07930-2432
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    Country              |    US
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    Telephone            |    908-895-4931
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5102 CUSTER ST 
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    City                 |    PISCATAWAY
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    State                |    NJ
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    Zip                  |    08854-4704
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    Country              |    US
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    Telephone            |    914-557-0467
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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        |    163WG0000X
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    Taxonomy Name        |    General Practice Registered Nurse
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    License Number       |    26NR25146400
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    License Number State |    NJ
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