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General NPI Number Information
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NPI Number | 1912762287
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Entity Type | Individual
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Provider Name | ANGELA AMELIA ONEILL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 2371 CROCKETT DR STE 102
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City | BROWNWOOD
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State | TX
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Zip | 76801-5920
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Country | US
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Telephone | 325-641-1140
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Fax | 833-450-6245
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Provider Business Mailing Address
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Address Line | 2371 CROCKETT DR STE 102
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City | BROWNWOOD
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State | TX
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Zip | 76801-5920
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Country | US
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Telephone | 325-641-1140
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Fax | 833-450-6245
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1153071
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License Number State | TX
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