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General NPI Number Information
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NPI Number | 1285147488
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Entity Type | Individual
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Provider Name | ANGELA BOYENNOH TOGBA NP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2017
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 593 EDDY STREET APC 4
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City | PROVIDENCE
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State | RI
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Zip | 02903
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Country | US
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Telephone | 401-272-1800
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Fax | 401-751-5124
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Provider Business Mailing Address
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Address Line | PO BOX 16149
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City | RUMFORD
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State | RI
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Zip | 02916-0697
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Country | US
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Telephone | 401-453-9625
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Fax | 401-435-7069
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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 | RN2265589
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN01584
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License Number State | RI
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