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General NPI Number Information
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NPI Number | 1932314580
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Entity Type | Organization
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Legal Business Name | ROSEMARY M AQUILER ANGELES MD PC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 18829 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-3262
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Country | US
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Telephone | 248-426-0110
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Fax | 248-426-0220
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Provider Business Mailing Address
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Address Line | 18829 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-3262
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Country | US
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Telephone | 248-426-0110
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Fax | 248-426-0220
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | ROSEMARY AQUILER ANGELES
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Credential | MD
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Telephone | 248-426-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | RA067645
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License Number State | MI
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