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General NPI Number Information
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NPI Number | 1730658337
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Entity Type | Individual
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Provider Name | ANGELA DAWN HOWARD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 308 W MAPLE AVE
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City | LANCASTER
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State | KY
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Zip | 40444-1005
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Country | US
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Telephone | 859-792-6844
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Fax |
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Provider Business Mailing Address
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Address Line | 115 ANGELA WAY
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City | LANCASTER
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State | KY
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Zip | 40444-9599
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Country | US
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Telephone | 859-339-2138
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 002943
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License Number State | KY
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