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General NPI Number Information
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NPI Number | 1326645862
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Entity Type | Organization
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Legal Business Name | ANGEL HEARTS CO. LLC
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 3656 S IRBY ST STE C
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City | FLORENCE
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State | SC
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Zip | 29505-5225
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Country | US
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Telephone | 843-845-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 3656 S IRBY ST STE C
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City | FLORENCE
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State | SC
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Zip | 29505-5225
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Country | US
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Telephone | 843-845-5588
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADWELL LEROME SCOTT SR.
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Credential |
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Telephone | 843-845-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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