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NPI Code Detail

MEDICARE: ANGELA DENISE TOBE ESTRADA

MEDICARE: ANGELA DENISE TOBE ESTRADA
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
1247000000XHealth Information Technician

General Provider Information

NPI Number : 1548786072
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA DENISE TOBE ESTRADA
Provider Business Mailing Address
First Line : 2104 SLIGHS AVE APT A
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-1197
Country : US
Telephone Number : 803-542-8840
Fax Number :
Provider Business Practice Location Address
First Line : 26 OFFICE PARK CT STE D1
Second Line :
City : COLUMBIA
State : SC
Zip : 29223-5954
Country : US
Telephone Number : 803-757-5264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2017
Last Update Date : 08/16/2017

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Directions to “ ANGELA DENISE TOBE ESTRADA ” Practice Location

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