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General NPI Number Information
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NPI Number | 1265940423
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Entity Type | Organization
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Legal Business Name | ANGELS IN ROUTE, LLC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 935 S MOUNT VERNON AVE STE 103
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City | COLTON
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State | CA
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Zip | 92324-3963
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Country | US
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Telephone | 909-761-8416
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Fax | 909-515-7474
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Provider Business Mailing Address
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Address Line | 935 S MOUNT VERNON AVE STE 103
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City | COLTON
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State | CA
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Zip | 92324-3963
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Country | US
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Telephone | 909-761-8416
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Fax | 909-515-7474
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Authorized Official
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Title or Position | OWNER
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Name | MARLYNN NARALEZ
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Credential |
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Telephone | 909-761-8416
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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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