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General NPI Number Information
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NPI Number | 1154534725
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Entity Type | Individual
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Provider Name | ANGELA THAPA B.S.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3590 N HIGHWAY 17/92
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City | LAKE MARY
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State | FL
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Zip | 32746-4510
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Country | US
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Telephone | 407-321-7015
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Fax |
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Provider Business Mailing Address
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Address Line | 631 WINDCHASE BLVD
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City | SANFORD
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State | FL
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Zip | 32773-4865
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Country | US
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Telephone | 585-797-5638
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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