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General NPI Number Information
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NPI Number | 1326708272
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Entity Type | Individual
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Provider Name | ANGELA ROSE MSN, WHNP
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Gender | Female
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1797 CONEY ISLAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11230-6501
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Country | US
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Telephone | 212-695-5122
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Fax | 212-695-2260
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Provider Business Mailing Address
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Address Line | 1797 CONEY ISLAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11230-6501
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 421792
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 767252
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License Number State | NY
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