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General NPI Number Information
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NPI Number | 1235279894
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Entity Type | Organization
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Legal Business Name | ANGELIC HANDS HOME HEALTH AGENCY, INC.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 6591 CLEARWATER DR
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City | OXFORD
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State | NC
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Zip | 27565-4808
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Country | US
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Telephone | 919-482-4898
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Fax | 919-693-8351
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Provider Business Mailing Address
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Address Line | 6591 CLEARWATER DR
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City | OXFORD
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State | NC
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Zip | 27565-4808
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Country | US
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Telephone | 919-482-4898
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Fax | 919-693-8351
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SOPHIA SMITH HARRIS
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Credential |
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Telephone | 919-482-4898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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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 | HC3558
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License Number State | NC
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