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General NPI Number Information
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NPI Number | 1811315377
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Entity Type | Individual
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Provider Name | ANGELA ROSE REDDY MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 22 S GREENE ST ROOM N3E09
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City | BALTIMORE
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State | MD
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Zip | 21201
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Country | US
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Telephone | 410-328-6110
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Fax |
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Provider Business Mailing Address
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Address Line | 92 W CEDAR AVE
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City | DENVER
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State | CO
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Zip | 80223-1830
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Country | US
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Telephone | 303-506-6891
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR.0059602
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License Number State | CO
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