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NPI Code Detail

MEDICARE: ANGELA GAY DILL

MEDICARE: ANGELA GAY DILL
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 Worker

General Provider Information

NPI Number : 1922231752
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA GAY DILL
Provider Business Mailing Address
First Line : 1201 3RD ST NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-1403
Country : US
Telephone Number : 505-764-8231
Fax Number : 505-248-1351
Provider Business Practice Location Address
First Line : 1201 3RD ST NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-1403
Country : US
Telephone Number : 505-764-8231
Fax Number : 505-248-1351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2009
Last Update Date : 08/27/2009

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Directions to “ ANGELA GAY DILL ” Practice Location

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