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General NPI Number Information
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NPI Number | 1215221247
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Entity Type | Organization
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Legal Business Name | PRESENCES OF ANGELS
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 3748 RICHARD RD
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-3725
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Country | US
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Telephone | 239-284-8876
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Fax |
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Provider Business Mailing Address
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Address Line | 3748 RICHARD RD.
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City | NORTH FORT
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State | FL
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Zip | 33903
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Country | US
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Telephone | 239-284-8876
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Fax |
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Authorized Official
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Title or Position | CNA
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Name | MRS. MARIA E PAGAN
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Credential | CNA
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Telephone | 239-284-8876
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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 |
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License Number State |
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