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General NPI Number Information
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NPI Number | 1073010971
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Entity Type | Organization
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Legal Business Name | CARING 4 ANGELS LLC
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 6113 NW 23RD TER
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City | GAINESVILLE
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State | FL
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Zip | 32653-1980
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Country | US
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Telephone | 352-415-5401
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 141675
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City | GAINESVILLE
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State | FL
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Zip | 32614-1675
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Country | US
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Telephone | 352-415-5401
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HEBDRIETTA W GAINEY
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Credential |
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Telephone | 352-415-5401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 234403
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License Number State | FL
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