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General NPI Number Information
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NPI Number | 1285829705
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Entity Type | Organization
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Legal Business Name | GUARDING ANGELS HOME CARE
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 26230 LINWOOD ST
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City | ROSEVILLE
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State | MI
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Zip | 48066-4955
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Country | US
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Telephone | 800-881-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 26230 LINWOOD ST
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City | ROSEVILLE
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State | MI
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Zip | 48066-4955
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Country | US
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Telephone | 800-881-2285
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Fax |
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Authorized Official
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Title or Position | PARAMEDIC
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Name | MR. JOSE LUIS RIVERA
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Credential | NREMTP
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Telephone | 800-881-2285
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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 | 4704227590
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License Number State | MI
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