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General NPI Number Information
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NPI Number | 1326556994
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Entity Type | Organization
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Legal Business Name | NOUVEAU ENTERPRISES LLC DBA ANNGELIC HOME CARE
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 19 HINES ST
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City | MONROEVILLE
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State | AL
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Zip | 36460-1833
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Country | US
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Telephone | 256-527-3091
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1672
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City | MONROEVILLE
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State | AL
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Zip | 36461-1672
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Country | US
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Telephone | 256-527-3091
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MARION SALINDA PREYEAR
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Credential |
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Telephone | 251-593-7940
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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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