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General NPI Number Information
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NPI Number | 1699314633
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Entity Type | Individual
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Provider Name | ANGELA SATTLER RN
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Gender | Female
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Dates
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Enumeration Date | 12/21/2019
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Last Update Date | 12/21/2019
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Provider Practice Location Address
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Address Line | 515 N 4TH ST STE 2
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2927
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Country | US
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Telephone | 208-930-6823
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Fax |
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Provider Business Mailing Address
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Address Line | 3643 W PINERIDGE DR
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City | COEUR D ALENE
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State | ID
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Zip | 83815-8094
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Country | US
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Telephone | 208-699-9470
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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 | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 38463
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License Number State | ID
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