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General NPI Number Information
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NPI Number | 1720137458
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Entity Type | Individual
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Provider Name | DONALD ANGLE CYTOTECHNOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 160 WYOMING ST
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City | DAYTON
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State | OH
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Zip | 45409-2740
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Country | US
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Telephone | 614-457-8180
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Fax | 614-583-3300
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Provider Business Mailing Address
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Address Line | 10415 W COVINGTON GETTYSBURG RD
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City | COVINGTON
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State | OH
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Zip | 45318-9731
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Country | US
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Telephone |
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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 | 246QC2700X
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Taxonomy Name | Cytotechnology Specialist/Technologist
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License Number |
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License Number State |
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