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General NPI Number Information
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NPI Number | 1336456987
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Entity Type | Organization
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Legal Business Name | ANGELS MEDICAL HOUSECALL, INC
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 12/31/2013
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Provider Practice Location Address
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Address Line | 5232 KARL PL NE
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City | WASHINGTON
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State | DC
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Zip | 20019-7052
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Country | US
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Telephone | 202-525-8594
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Fax | 202-636-7435
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Provider Business Mailing Address
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Address Line | PO BOX 92097
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City | WASHINGTON
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State | DC
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Zip | 20090-2097
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Country | US
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Telephone | 202-525-8594
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Fax | 202-636-7435
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Authorized Official
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Title or Position | NP
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Name | MS. NGOZI A IHEOMA
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Credential | CRNP
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Telephone | 202-525-8594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN1016266
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License Number State | DC
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