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General NPI Number Information
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NPI Number | 1548725864
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Entity Type | Individual
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Provider Name | ANGELA D HILL
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Gender | Female
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Dates
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Enumeration Date | 02/01/2019
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1 AEROSPACE BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-3910
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Country | US
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Telephone | 386-226-7917
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Fax | 386-226-6082
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Provider Business Mailing Address
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Address Line | 1 AEROSPACE BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-3910
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Country | US
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Telephone | 386-226-7917
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Fax | 386-226-6082
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 9379217
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License Number State | FL
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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 | APRN11037091
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License Number State | FL
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