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General NPI Number Information
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NPI Number | 1275731549
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Entity Type | Organization
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Legal Business Name | CARING ANGELS ON GUARD, INC.
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 333 W ALFRED ST
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City | TAVARES
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State | FL
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Zip | 32778-3205
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Country | US
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Telephone | 352-346-5855
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Fax | 352-729-2508
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | TAVARES
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State | FL
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Zip | 32778-0088
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Country | US
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Telephone | 352-346-5855
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Fax | 352-729-2508
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Authorized Official
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Title or Position | OWNER
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Name | MRS. FELECIA MICHELLE FREEMAN
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Credential | RN
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Telephone | 352-346-5855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 008951900
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License Number State | FL
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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 | 233036
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License Number State | FL
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