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General NPI Number Information
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NPI Number | 1811373632
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Entity Type | Individual
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Provider Name | ANGEL J JOHNSON NP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 859 DAYS DR
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City | SUTTON
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State | WV
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Zip | 26601-6255
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Country | US
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Telephone | 304-765-2861
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 953
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City | COWEN
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State | WV
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Zip | 26206-0953
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN56238NP
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License Number State | WV
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