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General NPI Number Information
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NPI Number | 1801177159
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Entity Type | Individual
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Provider Name | ANGELA H SCHUPP MD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 900 PINE ST UNIT 216-217
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City | ENGLEWOOD
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State | FL
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Zip | 34223-4418
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Country | US
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Telephone | 941-474-5093
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Fax |
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Provider Business Mailing Address
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Address Line | 900 PINE ST UNIT 216-217
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City | ENGLEWOOD
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State | FL
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Zip | 34223-4418
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Country | US
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Telephone | 941-474-5093
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME161920
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License Number State | FL
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