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General NPI Number Information
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NPI Number | 1356424782
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Entity Type | Individual
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Provider Name | ANGELA M SMITH PA
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Gender | Female
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 5589 ARGONNE ST
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City | DENVER
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State | CO
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Zip | 80249-8989
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Country | US
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Telephone | 720-516-8805
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Fax | 720-516-8806
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-2409
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Fax | 970-490-4155
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-01458
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 917
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1736
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA60636968
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1736
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA.0001736
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License Number State | CO
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