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General NPI Number Information
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NPI Number | 1386898237
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Entity Type | Individual
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Provider Name | ANGELA M. MCCLEES PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 10647 BIG BEND RD STE 212
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City | RIVERVIEW
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State | FL
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Zip | 33579-7176
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Country | US
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Telephone | 813-844-4600
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Fax | 813-844-1960
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | TAMPA
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State | FL
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Zip | 33601-1289
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Country | US
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Telephone | 813-844-7000
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1177
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License Number State | KY
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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 | PA9111465
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License Number State | FL
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