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General NPI Number Information
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NPI Number | 1801466560
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Entity Type | Individual
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Provider Name | MICHELLE M ANGERER DMD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 13501 ICOT BLVD STE 101
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City | CLEARWATER
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State | FL
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Zip | 33760-3729
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Country | US
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Telephone | 727-966-2513
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Fax |
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Provider Business Mailing Address
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Address Line | 10501 DOTHAM CT
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City | TAMPA
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State | FL
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Zip | 33626-2558
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Country | US
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Telephone | 786-564-1818
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 26319
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License Number State | FL
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