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General NPI Number Information
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NPI Number | 1154565091
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Entity Type | Organization
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Legal Business Name | ANGEL OF CARING HEALTH & STAFFING SERVICES, LLC
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 04/16/2010
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Provider Practice Location Address
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Address Line | 650 NE 22ND TER SUITE 315
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City | HOMESTEAD
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State | FL
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Zip | 33033-4709
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Country | US
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Telephone | 305-247-4577
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Fax | 305-247-4575
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Provider Business Mailing Address
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Address Line | 9963 SW 147TH CT
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City | MIAMI
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State | FL
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Zip | 33196-1634
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Country | US
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Telephone | 305-247-4577
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Fax | 305-247-4575
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. MICHAEL C TRUTT
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Credential |
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Telephone | 786-333-8730
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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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