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General NPI Number Information
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NPI Number | 1528212164
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Entity Type | Individual
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Provider Name | ANGELA MARIE HOUSEWORTH ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 998 2ND AVE E
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City | ONEONTA
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State | AL
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Zip | 35121-2506
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Country | US
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Telephone | 205-395-5014
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Fax |
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Provider Business Mailing Address
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Address Line | 1697 MONMOUTH ST SUITE A
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City | NEWPORT
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State | KY
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Zip | 41071-2664
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Country | US
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Telephone | 859-292-0123
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Fax | 859-292-0131
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5824P
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License Number State | KY
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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 | 3-000278
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License Number State | AL
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