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General NPI Number Information
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NPI Number | 1558848259
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Entity Type | Organization
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Legal Business Name | LITTLE ANGELS HEALTHCARE CENTER PLLC
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 2700 W PLEASANT RUN RD STE 300
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City | LANCASTER
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State | TX
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Zip | 75146-1074
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Country | US
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Telephone | 469-857-5439
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Fax | 469-857-5444
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Provider Business Mailing Address
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Address Line | 2700 W PLEASANT RUN RD STE 300
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City | LANCASTER
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State | TX
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Zip | 75146-1074
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Country | US
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Telephone | 469-857-5439
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Fax | 469-857-5444
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ANGELA NOWELL
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Credential | CPNP
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Telephone | 469-857-5439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP133030
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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