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General NPI Number Information
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NPI Number | 1316365083
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Entity Type | Organization
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Legal Business Name | ANGEL'S SERVICES
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 502 W KEARNEY ST STE 600
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City | MESQUITE
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State | TX
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Zip | 75149-3426
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Country | US
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Telephone | 214-429-1691
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Fax | 214-660-7353
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Provider Business Mailing Address
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Address Line | 111 SHADY CREEK LN
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City | TERRELL
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State | TX
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Zip | 75160-5138
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Country | US
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Telephone | 214-429-1691
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Fax | 214-660-7353
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Authorized Official
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Title or Position | CEO
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Name | JACQUELINE RENEA BROOKS
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Credential |
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Telephone | 214-429-1691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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