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General NPI Number Information
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NPI Number | 1164576740
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Entity Type | Organization
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Legal Business Name | ANGOTTI HEALTHCARE SYSTEMS INC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 1418 LINCOLN AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2021
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Country | US
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Telephone | 415-460-6020
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 LINCOLN AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2021
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Country | US
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Telephone | 415-460-6020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD ANGOTTI
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Credential |
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Telephone | 415-460-6022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | CHPA132
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License Number State | CA
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