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General NPI Number Information
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NPI Number | 1275776437
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Entity Type | Individual
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Provider Name | ANGIE N STANLEY APRN
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Gender | Female
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 65-1206 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-7303
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Country | US
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Telephone | 808-731-9006
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Fax | 808-374-4725
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Provider Business Mailing Address
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Address Line | PO BOX 190584
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City | HAWI
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State | HI
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Zip | 96719-0541
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Country | US
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Telephone | 808-731-9006
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Fax | 808-374-4725
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4041
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License Number State | HI
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