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General NPI Number Information
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NPI Number | 1225326291
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Entity Type | Organization
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Legal Business Name | ANGELS HEALTHCARE, INC
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 2601 BELMAR BLVD
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City | WALL
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State | NJ
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Zip | 07719-4167
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Country | US
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Telephone | 732-681-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 BELMAR BLVD
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City | WALL
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State | NJ
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Zip | 07719-4167
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Country | US
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Telephone | 732-681-2888
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MRS. MARISSA MARIE CORNEY
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Credential |
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Telephone | 732-681-2888
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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 | HP0139300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | HP0139300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HP0139300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0139300
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License Number State | NJ
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