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General NPI Number Information
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NPI Number | 1629391594
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Entity Type | Individual
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Provider Name | ANGELA M BIVENS MSN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 69 RIVER VUE AVE
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City | WARWICK
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State | RI
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Zip | 02889-4717
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Country | US
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Telephone | 704-650-7459
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Fax | 704-733-4917
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Provider Business Mailing Address
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Address Line | 69 RIVER VUE AVE
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City | WARWICK
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State | RI
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Zip | 02889-4717
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Country | US
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Telephone | 704-650-7459
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Fax | 704-733-4917
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NPP37303
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License Number State | RI
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