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General NPI Number Information
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NPI Number | 1841548955
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Entity Type | Organization
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Legal Business Name | DON S ANGELO DO PA
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 5149 N 9TH AVE SUITE G39
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City | PENSACOLA
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State | FL
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Zip | 32504-8756
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Country | US
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Telephone | 850-477-2727
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Fax | 850-477-0103
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Provider Business Mailing Address
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Address Line | 5149 N 9TH AVE SUITE G39
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City | PENSACOLA
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State | FL
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Zip | 32504-8756
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Country | US
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Telephone | 850-477-2727
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Fax | 850-477-0103
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Authorized Official
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Title or Position | OFFICE MGR
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Name | MRS. ANGIE F MCMASTER
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Credential |
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Telephone | 850-477-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS3836
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License Number State | FL
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