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General NPI Number Information
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NPI Number | 1104221993
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Entity Type | Organization
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Legal Business Name | ANITA'S ANGEL'S INC.
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 361 ROUTE 31 SUITE 1102
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5796
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Country | US
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Telephone | 908-788-9390
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Fax | 908-788-6977
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Provider Business Mailing Address
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Address Line | 361 ROUTE 31 SUITE 1102
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5796
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Country | US
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Telephone | 908-788-9390
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Fax | 908-788-6977
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | MRS. APRIL MCPEEK
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Credential |
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Telephone | 908-788-9390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HP0016400
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License Number State | NJ
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