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General NPI Number Information
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NPI Number | 1992979207
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Entity Type | Organization
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Legal Business Name | ANGELL FAMILY DENTISTRY, P.A.
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 423 40TH AVE NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-3719
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Country | US
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Telephone | 763-788-2215
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Fax | 763-788-1199
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Provider Business Mailing Address
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Address Line | 423 40TH AVE NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-3719
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Country | US
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Telephone | 763-788-2215
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Fax | 763-788-1199
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID W ANGELL
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Credential | DDS
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Telephone | 763-788-2215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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