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General NPI Number Information
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NPI Number | 1598222002
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Entity Type | Individual
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Provider Name | ANGELA HERRERA
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Gender | Female
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 62 AMARAL ST STE 100
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City | RIVERSIDE
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State | RI
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Zip | 02915-2205
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Country | US
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Telephone | 352-275-2064
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARK ROW W APT 214
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City | PROVIDENCE
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State | RI
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Zip | 02903-1931
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 11017911
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN2360551
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN9266263
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN04738
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License Number State | RI
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