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General NPI Number Information
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NPI Number | 1205386067
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Entity Type | Organization
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Legal Business Name | HANDS OF ANGELS HOME HEALTHCARE/STAFFING
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 356A LITTLE ROCK CT
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City | BISMARCK
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State | ND
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Zip | 58503-0004
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Country | US
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Telephone | 701-500-5401
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Fax | 701-751-9988
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Provider Business Mailing Address
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Address Line | 356A LITTLE ROCK CT
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City | BISMARCK
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State | ND
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Zip | 58503-0004
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Country | US
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Telephone | 701-500-5401
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Fax | 701-751-9988
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Authorized Official
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Title or Position | CEO OWNER
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Name | MORGAN THOMASJETER
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Credential |
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Telephone | 701-500-5401
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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 | 39163100
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License Number State | ND
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