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General NPI Number Information
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NPI Number | 1245436443
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Entity Type | Organization
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Legal Business Name | LIFE OF ANGELS HOME HEALTH CARE INC
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 1617 PALM VALLEY DR E 1617 PALM VALLEY DR. EAST
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City | HARLINGEN
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State | TX
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Zip | 78552-9007
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Country | US
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Telephone | 956-423-5900
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Fax | 956-423-5900
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Provider Business Mailing Address
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Address Line | 1617 PALM VALLEY DR E 1617 PALM VALLEY DR.EAST
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City | HARLINGEN
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State | TX
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Zip | 78552-9007
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Country | US
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Telephone | 956-423-5900
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Fax | 956-423-5900
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ELSA N BURKHOLDER
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Credential |
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Telephone | 956-423-5900
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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 | 010995
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License Number State | TX
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