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General NPI Number Information
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NPI Number | 1598930083
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Entity Type | Individual
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Provider Name | ANGENELLA JONES RT
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Gender | Female
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 1422 NORTH 0UTER DRIVE
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City | SAGINAW
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State | MI
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Zip | 48601
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Country | US
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Telephone | 989-607-6375
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Fax |
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Provider Business Mailing Address
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Address Line | 1422 N OUTER DR
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City | SAGINAW
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State | MI
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Zip | 48601-6151
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Country | US
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Telephone | 989-697-6375
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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 | 2278E0002X
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Taxonomy Name | Emergency Care Certified Respiratory Therapist
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License Number | L1003754
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License Number State | MI
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