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General NPI Number Information
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NPI Number | 1003593948
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Entity Type | Organization
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Legal Business Name | ANGELS COMING HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 8035 E R L THORNTON FWY STE 436
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City | DALLAS
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State | TX
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Zip | 75228-1012
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Country | US
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Telephone | 214-960-7342
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Fax |
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Provider Business Mailing Address
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Address Line | 4447 N CENTRAL EXPY STE 110 PMB 114
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City | DALLAS
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State | TX
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Zip | 75205-4246
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KEVIN BILAL CHRISTIAN SR.
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Credential |
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Telephone | 214-960-7342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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