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General NPI Number Information
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NPI Number | 1326682105
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Entity Type | Organization
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Legal Business Name | MY ANGELS HOME CARE INC
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 695 DUTCHESS TPKE STE 209
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-6443
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Country | US
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Telephone | 888-284-5729
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Fax |
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Provider Business Mailing Address
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Address Line | 695 DUTCHESS TPKE STE 209
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-6443
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Country | US
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Telephone | 888-284-5729
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHANIECE BROWN
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Credential |
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Telephone | 845-214-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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