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General NPI Number Information
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NPI Number | 1508219502
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Entity Type | Individual
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Provider Name | ANGELA KEMPTON MEISSNER RN, RBT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 1530 S PRIMROSE DR
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City | ORLANDO
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State | FL
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Zip | 32806-2587
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Country | US
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Telephone | 407-988-3510
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Fax | 407-988-3511
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Provider Business Mailing Address
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Address Line | 3404 MONTEEN DR
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City | ORLANDO
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State | FL
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Zip | 32806-6676
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Country | US
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Telephone | 407-375-0330
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BACB326140
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9165923
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License Number State | FL
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