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General NPI Number Information
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NPI Number | 1689153702
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Entity Type | Individual
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Provider Name | ANGELA ROSE FLANAGAN MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 4885 ROUTE 9
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City | STAATSBURG
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State | NY
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Zip | 12580-6028
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Country | US
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Telephone | 845-889-9509
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Fax |
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Provider Business Mailing Address
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Address Line | 21 JOHN ST
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City | WEST HURLEY
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State | NY
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Zip | 12491-6027
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Country | US
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Telephone | 860-334-4320
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 027842-1
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License Number State | NY
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