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General NPI Number Information
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NPI Number | 1194856005
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Entity Type | Individual
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Provider Name | ANGELA DYGERT CNM
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6001 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-1502
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Country | US
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Telephone | 614-234-6000
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Fax | 614-546-4627
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Provider Business Mailing Address
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Address Line | PO BOX 182039 DEPT 72
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City | COLUMBUS
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State | OH
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Zip | 43218-2039
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Country | US
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Telephone | 614-234-8900
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Fax | 614-546-4627
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | NM06853
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License Number State | OH
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