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General NPI Number Information
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NPI Number | 1316437023
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Entity Type | Individual
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Provider Name | ANGELICA SIMMONS COMMISKEY MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 6100 PAN AMERICAN FREEWAY NE STE100
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3460
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Country | US
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Telephone | 505-823-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 6343 PENN AVE # 201
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City | PITTSBURGH
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State | PA
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Zip | 15206-4011
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD2023-1236
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License Number State | NM
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