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General NPI Number Information
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NPI Number | 1932576790
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Entity Type | Organization
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Legal Business Name | PAULA LANGELOH, APRN, LLC
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 695 N OPPORTUNITY DR
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City | COLUMBIA CITY
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State | IN
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Zip | 46725-1041
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Country | US
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Telephone | 260-609-3576
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Fax |
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Provider Business Mailing Address
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Address Line | 3256 W CIRCLE DR
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City | COLUMBIA CITY
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State | IN
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Zip | 46725-9181
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Country | US
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Telephone | 260-609-3576
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAULA A LANGELOH
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Credential | FNP-C
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Telephone | 260-609-3576
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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 | 71003989A
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License Number State | IN
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