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General NPI Number Information
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NPI Number | 1205624343
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Entity Type | Individual
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Provider Name | ANGELA MADEJ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 6548 SPRINGWOOD DR
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City | OWENSBORO
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State | KY
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Zip | 42301-8019
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Country | US
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Telephone | 270-925-3226
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Fax |
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Provider Business Mailing Address
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Address Line | 6548 SPRINGWOOD DR
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City | OWENSBORO
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State | KY
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Zip | 42301-8019
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Country | US
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Telephone | 270-925-3226
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26026384A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 014251
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License Number State | KY
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