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General NPI Number Information
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NPI Number | 1215993555
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Entity Type | Individual
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Provider Name | ANGELA M PAUL NP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD.
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City | WAUWATOSA
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State | WI
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Zip | 53226
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Country | US
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Telephone | 414-955-1700
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Fax | 414-955-0072
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Provider Business Mailing Address
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Address Line | 8701 WATERTOWN PLANK RD
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City | WAUWATOSA
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State | WI
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Zip | 53226-3548
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Country | US
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Telephone | 414-955-1730
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Fax | 414-955-0072
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2578033
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License Number State | WI
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