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General NPI Number Information
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NPI Number | 1093990715
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Entity Type | Organization
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Legal Business Name | EVERYDAY ANGELS, LLC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 5349 SONOMA DRIVE
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City | KELLER
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State | TX
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Zip | 76248-9105
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Country | US
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Telephone | 817-741-7474
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Fax | 817-741-7482
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Provider Business Mailing Address
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Address Line | 9500 RAY WHITE ROAD SUITE 200
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City | KELLER
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State | TX
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Zip | 76248-9105
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Country | US
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Telephone | 817-741-7474
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Fax | 817-741-7482
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | SHERRY DENISE CROW
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Credential | LBSW
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Telephone | 817-741-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | TX
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