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General NPI Number Information
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NPI Number | 1942995402
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Entity Type | Individual
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Provider Name | HANNAH ANGELELLA
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Gender | Female
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 1280A MAIN ST
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City | ALTAVISTA
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State | VA
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Zip | 24517-1465
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Country | US
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Telephone | 434-309-1165
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Fax |
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Provider Business Mailing Address
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Address Line | 1280A MAIN ST
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City | ALTAVISTA
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State | VA
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Zip | 24517-1465
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Country | US
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Telephone |
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0009091
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110010585
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License Number State | VA
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