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General NPI Number Information
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NPI Number | 1336239409
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Entity Type | Individual
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Provider Name | ANGIE MIKHAIL
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 18102 CULVER DR
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City | IRVINE
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State | CA
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Zip | 92612-2730
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Country | US
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Telephone | 657-241-8220
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Fax | 949-407-5278
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Provider Business Mailing Address
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Address Line | 18102 CULVER DR
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City | IRVINE
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State | CA
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Zip | 92612-2730
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Country | US
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Telephone | 657-241-8220
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Fax | 949-407-5278
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 585048
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License Number State | CA
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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 | RN00157444
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP15099
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15099
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30006992
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License Number State | WA
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