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General NPI Number Information
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NPI Number | 1801783444
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Entity Type | Organization
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Legal Business Name | ANGELA STAPP LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1410 W WEATHERBY CT
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City | GREENSBURG
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State | IN
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Zip | 47240-6433
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Country | US
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Telephone | 812-662-4846
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 W WEATHERBY CT
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City | GREENSBURG
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State | IN
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Zip | 47240-6433
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Country | US
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Telephone | 812-662-4846
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | ANGELA STAPP
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Credential | M.S.,CCC-SLP
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Telephone | 812-662-4846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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