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General NPI Number Information
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NPI Number | 1326395328
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Entity Type | Organization
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Legal Business Name | ANGELS AT HEART HOMECARE UNLIMITED
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 201 S WASHINGTON ST
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City | GREENFIELD
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State | OH
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Zip | 45123-1466
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Country | US
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Telephone | 937-876-5186
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Fax |
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Provider Business Mailing Address
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Address Line | 201 S WASHINGTON ST
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City | GREENFIELD
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State | OH
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Zip | 45123-1466
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Country | US
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Telephone | 937-876-5186
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Fax |
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Authorized Official
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Title or Position | RN/OWNER
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Name | LISA F. HANEY
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Credential | RN
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Telephone | 937-876-5186
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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 | RN 251437
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License Number State | OH
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