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General NPI Number Information
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NPI Number | 1245804780
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Entity Type | Organization
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Legal Business Name | ANGEL AKUNNA HOME CARE & RESPITE INC.
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 2316 HIGH COUNTRY WAY
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City | PLANO
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State | TX
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Zip | 75025
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Country | US
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Telephone | 630-297-1265
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Fax |
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Provider Business Mailing Address
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Address Line | 2316 HIGH COUNTRY WAY
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City | PLANO
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State | TX
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Zip | 75025
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Country | US
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Telephone | 630-297-1265
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Fax |
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Authorized Official
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Title or Position | DIRECTOR-CLINICAL OPERATIONS
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Name | MRS. MICHELLE A. ECHEMAH
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Credential |
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Telephone | 630-297-1265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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