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General NPI Number Information
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NPI Number | 1376675827
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Entity Type | Individual
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Provider Name | ANGELA BETH ALLS SATTERLY
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Gender | Female
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Dates
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Enumeration Date | 03/11/2007
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 2228 TWENTY GRAND AVE
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City | OWENSBORO
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State | KY
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Zip | 42301-4935
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Country | US
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Telephone | 270-929-9839
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Fax | 270-228-4136
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Provider Business Mailing Address
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Address Line | 2228 TWENTY GRAND AVE
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City | OWENSBORO
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State | KY
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Zip | 42301-4935
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Country | US
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Telephone | 270-929-9839
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Fax | 270-231-8048
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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