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General NPI Number Information
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NPI Number | 1598562761
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Entity Type | Individual
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Provider Name | ANGELIA K DAVIS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 228 BILLERICA RD
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City | CHELMSFORD
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State | MA
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Zip | 01824-3604
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Country | US
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Telephone | 978-250-6093
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Fax |
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Provider Business Mailing Address
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Address Line | 270 CANAL ST APT 214
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City | LAWRENCE
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State | MA
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Zip | 01840-1448
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Country | US
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Telephone | 859-353-2776
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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