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General NPI Number Information
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NPI Number | 1225713498
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Entity Type | Individual
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Provider Name | ANGIE MEI HUANG
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Gender | Female
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 10440 LITTLE PATUXENT PKWY
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City | COLUMBIA
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State | MD
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Zip | 21044-3561
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Country | US
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Telephone | 703-870-9107
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Fax |
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Provider Business Mailing Address
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Address Line | 11806 ROBERTSON FARM CIR
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City | FAIRFAX
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State | VA
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Zip | 22030-5689
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Country | US
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Telephone | 703-870-9107
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-22-227654
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License Number State | VA
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