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General NPI Number Information
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NPI Number | 1962886705
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Entity Type | Individual
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Provider Name | ANGELLA M JOHN ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 10 FAIRWAY DR STE 305
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1802
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Country | US
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Telephone | 954-744-0020
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Fax | 754-318-6211
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Provider Business Mailing Address
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Address Line | 10 FAIRWAY DR STE 305
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1802
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Country | US
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Telephone | 954-744-0020
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Fax | 754-318-6211
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | APRN9212723
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | APRN9212723
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License Number State | FL
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