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General NPI Number Information
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NPI Number | 1457683740
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Entity Type | Individual
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Provider Name | ANGELA BORRELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 11312 MANKLIN CREEK RD UNIT 5
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City | BERLIN
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State | MD
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Zip | 21811-4009
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Country | US
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Telephone | 443-513-0500
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Fax | 888-307-9020
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Provider Business Mailing Address
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Address Line | 11312 MANKLIN CREEK RD UNIT 5
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City | BERLIN
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State | MD
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Zip | 21811-4009
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Country | US
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Telephone | 443-513-5000
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Fax | 888-307-9020
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R212707
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R212707
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License Number State | MD
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