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General NPI Number Information
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NPI Number | 1841819976
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Entity Type | Individual
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Provider Name | MARY SMITH ANGELIDES MD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 621 S NEW BALLAS RD STE 2007B
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8265
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Country | US
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Telephone | 314-991-5000
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Fax | 314-991-5035
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Provider Business Mailing Address
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Address Line | 4815 LIBERTY AVE STE GR25
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City | PITTSBURGH
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State | PA
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Zip | 15224-2156
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Country | US
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Telephone | 855-281-4963
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Fax | 412-605-6343
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD486197
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2025031523
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License Number State | MO
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