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General NPI Number Information
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NPI Number | 1700491081
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Entity Type | Individual
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Provider Name | ANGELA TEDFORD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2020
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 3350 CLEVELAND AVE STE 1964
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City | COLUMBUS
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State | OH
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Zip | 43224-3677
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Country | US
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Telephone | 614-523-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 7064 BAYPINE LN
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City | ENGLEWOOD
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State | FL
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Zip | 34224-5221
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Country | US
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Telephone | 614-207-6442
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11042593
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 026132
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License Number State | OH
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