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General NPI Number Information
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NPI Number | 1588295810
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Entity Type | Individual
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Provider Name | ANGELA MICHELE HEATH PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 108 E H AVE
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City | MILBURN
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State | OK
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Zip | 73450-9445
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Country | US
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Telephone | 580-443-3564
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Fax | 580-443-3503
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Provider Business Mailing Address
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Address Line | 108 E H AVE
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City | MILBURN
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State | OK
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Zip | 73450-9445
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Country | US
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Telephone | 580-443-3564
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Fax | 580-443-3503
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3179
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 65215
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License Number State | CA
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