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General NPI Number Information
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NPI Number | 1073188157
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Entity Type | Organization
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Legal Business Name | ANGEL 3 SISTERS HOME HEALTH CARE, CORP.
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 1801 S GARNETT RD STE E
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City | TULSA
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State | OK
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Zip | 74128-1813
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Country | US
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Telephone | 539-867-4910
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Fax | 539-867-4943
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Provider Business Mailing Address
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Address Line | 1801 S GARNETT RD STE E
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City | TULSA
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State | OK
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Zip | 74128-1813
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Country | US
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Telephone | 539-867-4910
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Fax | 539-867-4943
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Authorized Official
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Title or Position | OPERATIONAL MANAGER
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Name | KU XIONG
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Credential |
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Telephone | 539-867-4910
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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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