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NPI Code Detail

MEDICARE: MRS. ANGELA TAM

MEDICARE: MRS. ANGELA TAM
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
1106S00000XBehavior TechnicianOH

General Provider Information

NPI Number : 1922505023
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA TAM
Provider Business Mailing Address
First Line : 1271 HUNTER AVE APT D
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-3254
Country : US
Telephone Number : 415-941-8075
Fax Number :
Provider Business Practice Location Address
First Line : 4664 LARWELL DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-3621
Country : US
Telephone Number : 614-487-7805
Fax Number : 614-487-7809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2018
Last Update Date : 03/29/2026

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Directions to “ MRS. ANGELA TAM ” Practice Location

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