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General NPI Number Information
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NPI Number | 1720524895
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Entity Type | Individual
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Provider Name | ANGELA MITCHELL R.D.
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Gender | Female
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 250 UNIVERSITY BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5137
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Country | US
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Telephone | 317-274-3432
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Fax |
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Provider Business Mailing Address
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Address Line | 2493 STILL CREEK DR
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City | ZIONSVILLE
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State | IN
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Zip | 46077-1295
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Country | US
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Telephone | 317-409-9446
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 923309
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License Number State | IN
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