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General NPI Number Information
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NPI Number | 1831137942
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Entity Type | Individual
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Provider Name | MELANIE R ANGELL R, PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 5180 S MAIN ST
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City | MUNNSVILLE
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State | NY
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Zip | 13409-4058
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Country | US
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Telephone | 315-495-2690
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Fax | 315-495-7056
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Provider Business Mailing Address
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Address Line | 150 BROAD ST
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City | HAMILTON
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State | NY
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Zip | 13346-9518
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Country | US
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Telephone | 315-824-1100
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Fax | 315-495-7056
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 006778
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License Number State | NY
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