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General NPI Number Information
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NPI Number | 1225268311
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Entity Type | Organization
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Legal Business Name | ANGELS ON DUTY HEALTH CARE
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 11008 VOSS AVE
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City | KELLER
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State | TX
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Zip | 76248-5079
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Country | US
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Telephone | 817-431-5060
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2831
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City | KELLER
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State | TX
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Zip | 76244-2831
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TYSA Q TAYLOR
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Credential | RN
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Telephone | 817-431-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 725998
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 725998
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License Number State | TX
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