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General NPI Number Information
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NPI Number | 1932528197
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Entity Type | Individual
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Provider Name | ANGELICA GABRIELLA NOCERINO M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 3800 RESERVOIR RD NW
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone | 202-444-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 WILSON BLVD UNIT 218
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City | ARLINGTON
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State | VA
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Zip | 22201-6604
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Country | US
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Telephone | 347-723-9174
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Fax | 212-434-6359
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD049076.
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License Number State | DC
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