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General NPI Number Information
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NPI Number | 1306020169
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Entity Type | Organization
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Legal Business Name | ANGEL ASSISTED LIVING
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 8919 HICKORY HILL AVE
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City | LANHAM
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State | MD
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Zip | 20706-2851
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Country | US
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Telephone | 301-577-2999
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Fax | 301-577-3771
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Provider Business Mailing Address
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Address Line | 8919 HICKORY HILL AVE
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City | LANHAM
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State | MD
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Zip | 20706-2851
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Country | US
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Telephone | 301-577-2999
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Fax | 301-577-3771
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ANGELINA S UGHIOVHE
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Credential |
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Telephone | 301-577-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 16AL0794
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 16AL454
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 16AL0843
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 16ALO745
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License Number State | MD
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