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General NPI Number Information
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NPI Number | 1174039499
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Entity Type | Organization
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Legal Business Name | ANGELIC HOME CARE OF SARASOTA
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Dates
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Enumeration Date | 12/22/2017
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Last Update Date | 12/22/2017
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Provider Practice Location Address
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Address Line | 5070 CENTRAL SARASOTA PKWY
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City | SARASOTA
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State | FL
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Zip | 34238-7605
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Country | US
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Telephone | 941-323-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 5070 CENTRAL SARASOTA PKWY
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City | SARASOTA
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State | FL
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Zip | 34238-7605
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Country | US
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Telephone | 941-323-0700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MEHWISH RASHID
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Credential |
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Telephone | 941-323-0700
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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 | 39969932
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License Number State | FL
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