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General NPI Number Information
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NPI Number | 1649046731
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Entity Type | Individual
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Provider Name | ANGELA NORMAN
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Gender | Female
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 405 W 1ST ST
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City | DAYTON
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State | OH
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Zip | 45402-3007
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Country | US
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Telephone | 937-266-5072
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Fax |
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Provider Business Mailing Address
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Address Line | 5695 COTTONWOOD CT
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-4050
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Country | US
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Telephone | 937-674-3752
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.447229
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN.447229
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License Number State | OH
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