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General NPI Number Information
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NPI Number | 1437010550
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Entity Type | Individual
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Provider Name | ANGELA CONNER
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Gender | Female
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 10326 LANARK ST
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City | DETROIT
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State | MI
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Zip | 48224-1231
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Country | US
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Telephone | 313-506-6419
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Fax |
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Provider Business Mailing Address
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Address Line | 10326 LANARK ST
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City | DETROIT
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State | MI
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Zip | 48224-1231
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Country | US
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Telephone | 313-506-6419
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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