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General NPI Number Information
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NPI Number | 1720045412
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Entity Type | Individual
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Provider Name | NIREN ANGLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 24411 HEALTH CENTER DR SUITE 350
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3651
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Country | US
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Telephone | 949-457-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 EL CAPITAN DR STE 120
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City | DANVILLE
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State | CA
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Zip | 94526-6260
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Country | US
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Telephone | 925-239-2549
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G78968
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | G78968
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License Number State | CA
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