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NPI Code Detail

MEDICARE: ANGELA DAWN BIRCHFIELD

MEDICARE:   ANGELA DAWN BIRCHFIELD
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1396410296
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA DAWN BIRCHFIELD
Provider Business Mailing Address
First Line : 1014 CHESAPEAKE CT
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-3530
Country : US
Telephone Number : 304-939-6483
Fax Number :
Provider Business Practice Location Address
First Line : 1014 CHESAPEAKE CT
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-3530
Country : US
Telephone Number : 304-939-6483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2021
Last Update Date : 08/12/2021

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Directions to “ ANGELA DAWN BIRCHFIELD ” Practice Location

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