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General NPI Number Information
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NPI Number | 1669120093
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Entity Type | Individual
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Provider Name | ANGELA WESSELLS
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Gender | Female
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 2602 WHITEHOUSE RD STE D
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23834-5398
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Country | US
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Telephone | 804-571-1952
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Fax |
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Provider Business Mailing Address
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Address Line | 12206 DECLARATION AVE
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City | CHESTER
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State | VA
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Zip | 23836-3057
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Country | US
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Telephone | 804-355-7708
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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