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General NPI Number Information
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NPI Number | 1326533910
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Entity Type | Individual
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Provider Name | MRS. ANGELINA MASTERS
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Gender | Female
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 521 JACKSONVILLE RD
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City | BAGDAD
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State | KY
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Zip | 40003-7095
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Country | US
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Telephone | 502-529-2278
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Fax |
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Provider Business Mailing Address
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Address Line | 6540 FRANKFORT RD
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City | SHELBYVILLE
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State | KY
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Zip | 40065-9561
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Country | US
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Telephone | 502-220-9297
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 302228
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | KY
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