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General NPI Number Information
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NPI Number | 1164882593
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Entity Type | Organization
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Legal Business Name | ARMS OF AN ANGEL PROVIDER & IN- HOME SKILLED NURSING SERVICES
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 9851 MESSENGER PASS
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City | SAN ANTONIO
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State | TX
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Zip | 78245-2839
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Country | US
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Telephone | 210-218-7406
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Fax | 210-437-3636
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Provider Business Mailing Address
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Address Line | 9851 MESSENGER PASS
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City | SAN ANTONIO
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State | TX
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Zip | 78245-2839
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Country | US
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Telephone | 210-218-7406
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Fax | 210-455-0542
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE
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Name | MRS. ANA-LISA GONZALES
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Credential | LPN
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Telephone | 210-218-7406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 304600
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 304600
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 304600
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 304600
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License Number State | TX
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