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General NPI Number Information
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NPI Number | 1235157819
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Entity Type | Individual
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Provider Name | ANGELA MARY NELSON CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 317 E 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-4974
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Country | US
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Telephone | 908-907-4944
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 SPRUCE ST 3 SILVERSTEIN BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4206
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | F430071
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP009474
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License Number State | PA
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