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General NPI Number Information
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NPI Number | 1134160070
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Entity Type | Individual
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Provider Name | TRICIA K ANGULO-BARTLETT CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 1120 N ROLLING RD
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City | CATONSVILLE
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State | MD
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Zip | 21228-3826
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Country | US
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Telephone | 410-744-8822
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Fax | 410-744-5117
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Provider Business Mailing Address
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Address Line | PO BOX 21182
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City | BALTIMORE
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State | MD
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Zip | 21228-0682
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Country | US
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Telephone |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | R149461
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License Number State | MD
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