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General NPI Number Information
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NPI Number | 1669212692
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Entity Type | Individual
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Provider Name | ANGELA KNABLE LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 5000 THAYER CTR STE C
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City | OAKLAND
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State | MD
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Zip | 21550-1139
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Country | US
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Telephone | 240-772-1389
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Fax |
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Provider Business Mailing Address
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Address Line | 11407 E 25TH PL
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City | YUMA
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State | AZ
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Zip | 85367-3649
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Country | US
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Telephone | 240-678-3443
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 31545
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License Number State | MD
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