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General NPI Number Information
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NPI Number | 1073718995
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Entity Type | Organization
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Legal Business Name | ANGEL MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 8919 HICKORY HILL AVE
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City | LANHAM
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State | MD
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Zip | 20706-2851
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Country | US
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Telephone | 301-577-2999
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Fax | 301-577-3771
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Provider Business Mailing Address
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Address Line | PO BOX 60807
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City | WASHINGTON
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State | DC
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Zip | 20039-0807
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Country | US
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Telephone | 202-427-6372
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Fax | 301-577-3771
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANGELINA S UGHIOVHE
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Credential |
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Telephone | 202-427-6372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | R2506
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License Number State | MD
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