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General NPI Number Information
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NPI Number | 1871895888
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Entity Type | Individual
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Provider Name | GUY G. DEANGELIS N.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 933 HIGH ST SUITE 120B
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City | WORTHINGTON
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State | OH
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Zip | 43085-4017
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Country | US
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Telephone | 614-284-2626
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Fax | 615-754-0220
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Provider Business Mailing Address
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Address Line | 933 HIGH ST SUITE 120B
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City | WORTHINGTON
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State | OH
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Zip | 43085-4017
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Country | US
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Telephone | 614-284-2626
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Fax | 615-754-0220
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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