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General NPI Number Information
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NPI Number | 1851451918
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Entity Type | Individual
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Provider Name | VIRGINIA ANGELES SAMPANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 32 COLONNADE WAY
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City | STATE COLLEGE
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State | PA
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Zip | 16803-2309
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Country | US
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Telephone | 717-531-5164
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Fax | 717-531-0646
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Provider Business Mailing Address
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Address Line | PO BOX 858 MC CA410
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City | HERSHEY
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State | PA
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Zip | 17033-0858
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Country | US
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Telephone | 717-531-5814
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Fax | 717-531-0494
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101240284
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD480216
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License Number State | PA
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