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General NPI Number Information
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NPI Number | 1043727647
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Entity Type | Organization
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Legal Business Name | ANGELS ARE REAL HOMECARE AGENCY LLC
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 01/04/2018
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Provider Practice Location Address
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Address Line | 5620 N 2ND STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19120-1912
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Country | US
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Telephone | 215-901-3401
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Fax | 215-901-3401
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Provider Business Mailing Address
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Address Line | 5620 N 2ND ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2426
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Country | US
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Telephone | 215-901-3401
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | NAVINN YIM
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Credential |
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Telephone | 215-901-3401
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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 | 36023601
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License Number State | PA
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