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General NPI Number Information
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NPI Number | 1801484670
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Entity Type | Organization
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Legal Business Name | ANGELA STEWART CONSULTING
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 2418 E YORK ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3006
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Country | US
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Telephone | 215-206-5017
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 HAZELWOOD DR
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City | PHILADELPHIA
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State | PA
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Zip | 19150-1515
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Country | US
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Telephone | 215-206-5017
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Fax | 215-248-2002
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. ANGELA STEWART
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Credential | CRNP
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Telephone | 215-206-5017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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