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General NPI Number Information
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NPI Number | 1013211051
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Entity Type | Organization
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Legal Business Name | TOUCH BY ANGELS, LLC
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 8461 LAKE WORTH RD SUITE #126
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City | LAKE WORTH
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State | FL
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Zip | 33467-2474
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Country | US
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Telephone | 561-209-6017
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Fax | 561-214-4995
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Provider Business Mailing Address
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Address Line | 8461 LAKE WORTH RD SUITE #126
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City | LAKE WORTH
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State | FL
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Zip | 33467-2474
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Country | US
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Telephone | 561-209-6017
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Fax | 561-214-4995
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Authorized Official
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Title or Position | OWNER
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Name | MISS TIFFANY GORDON
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Credential | LPN
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Telephone | 561-305-7589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 232008
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License Number State | FL
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