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General NPI Number Information
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NPI Number | 1336415751
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Entity Type | Organization
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Legal Business Name | ANGEL MOBILE HEALTH SERVICES
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 8180 ROCK BROOK ST
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City | FRISCO
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State | TX
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Zip | 75034-5583
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Country | US
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Telephone | 972-464-7476
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Fax | 469-200-8927
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Provider Business Mailing Address
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Address Line | 8180 ROCK BROOK ST
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City | FRISCO
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State | TX
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Zip | 75034-5583
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Country | US
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Telephone | 972-464-7476
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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. KAREN S BURKS
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Credential | NCMA,NCPT, DOT CERT
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Telephone | 972-464-7476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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