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General NPI Number Information
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NPI Number | 1134773930
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Entity Type | Individual
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Provider Name | ANGELA DENISE GIVENS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 315 OLD LANDING RD
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City | MILLSBORO
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State | DE
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Zip | 19966-1210
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Country | US
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Telephone | 302-947-1920
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Fax | 302-947-4645
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Provider Business Mailing Address
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Address Line | 1114 SOUTH DUPONT HIGHWAY STE 105 ATTN: JANINE COLEMAN
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City | DOVER
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State | DE
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Zip | 19901
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Country | US
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Telephone | 302-442-6194
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Fax | 302-672-8195
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1615
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License Number State | DE
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