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General NPI Number Information
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NPI Number | 1780525303
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Entity Type | Organization
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Legal Business Name | AMERICAN INSTITUTE OF MODERN MEDICINE
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 155 DRY HILL RD
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City | BECKLEY
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State | WV
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Zip | 25801-2603
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Country | US
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Telephone | 681-238-3393
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Fax | 563-220-4783
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Provider Business Mailing Address
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Address Line | 155 DRY HILL RD
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City | BECKLEY
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State | WV
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Zip | 25801-2603
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Country | US
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Telephone | 681-238-3393
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Fax | 563-220-4783
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Authorized Official
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Title or Position | MD
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Name | ANGELA MD DOLGANIUC
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Credential | DOLGANIUC
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Telephone | 774-275-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1002X
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Taxonomy Name | Physician Nutrition Specialist (Internal Medicine)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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