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General NPI Number Information
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NPI Number | 1376939348
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Entity Type | Organization
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Legal Business Name | ANGELS HELPING AT HOME, INC
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 04/07/2015
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Provider Practice Location Address
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Address Line | 7270 MARTIN WRIGHT RD
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City | WESTFIELD
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State | NY
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Zip | 14787-9606
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Country | US
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Telephone | 716-490-0654
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 192
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City | WESTFIELD
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State | NY
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Zip | 14787-0192
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Country | US
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Telephone | 716-490-0654
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAMIAN WARREN RAYNOR
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Credential |
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Telephone | 716-490-0654
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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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