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General NPI Number Information
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NPI Number | 1225759962
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Entity Type | Organization
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Legal Business Name | ANGELS HOME CARE
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 820 CENTRAL AVE # C5
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City | SUMMERVILLE
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State | SC
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Zip | 29483-3743
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Country | US
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Telephone | 843-518-1712
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Fax | 843-589-1239
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Provider Business Mailing Address
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Address Line | 820 CENTRAL AVE # C5
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City | SUMMERVILLE
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State | SC
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Zip | 29483-3743
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Country | US
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Telephone | 843-518-1712
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Fax | 843-589-1239
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Authorized Official
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Title or Position | OWN
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Name | MRS. SHAKIVA LASHUN STAGGERS
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Credential | MEDICAL
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Telephone | 843-518-1712
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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 |
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License Number State |
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