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NPI Code Detail

MEDICARE: ANGELA METRO

MEDICARE:   ANGELA  METRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker33006976AIN

General Provider Information

NPI Number : 1396106852
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA METRO
Provider Business Mailing Address
First Line : 2423 FAIRFIELD AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46807-1210
Country : US
Telephone Number : 260-745-9431
Fax Number : 260-745-0731
Provider Business Practice Location Address
First Line : 2423 FAIRFIELD AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46807-1210
Country : US
Telephone Number : 260-745-9431
Fax Number : 260-745-0731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2016
Last Update Date : 03/11/2016

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Directions to “ ANGELA METRO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.