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General NPI Number Information
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NPI Number | 1780007567
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Entity Type | Individual
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Provider Name | ANGELICA J MCGOUGH APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3000 N LITCHFIELD RD STE 120
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City | GOODYEAR
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State | AZ
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Zip | 85395-7802
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Country | US
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Telephone | 949-484-9517
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Fax | 949-569-1295
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Provider Business Mailing Address
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Address Line | 25 N WINFIELD RD STE 2202
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City | WINFIELD
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State | IL
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Zip | 60190-1379
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Country | US
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Telephone | 630-933-4847
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Fax | 630-933-3826
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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 | 1087339
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | TPAN1700
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11236
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CP003342
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License Number State | SD
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 32862
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4026818
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 211644
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License Number State | OK
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209011217
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10012101
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License Number State | OR
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN04193
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License Number State | RI
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Taxonomy #11
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95025082
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License Number State | CA
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Taxonomy #12
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2369078
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License Number State | MA
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Taxonomy #13
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11842
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License Number State | CT
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Taxonomy #14
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 299524
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License Number State | AZ
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Taxonomy #15
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 353421
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License Number State | NY
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