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NPI 1386432888

NPI 1386432888 : SWEET ANGELIC HEARTS HOME CARE : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1386432888
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    Entity Type          |    Organization 
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    Legal Business Name  |    SWEET ANGELIC HEARTS HOME CARE 
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Dates
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    Enumeration Date     |    04/26/2025
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    Last Update Date     |    04/26/2025
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Provider Practice Location Address
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    Address Line         |    9393 N 90TH ST 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-5040
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    Country              |    US
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    Telephone            |    317-702-8919
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    Fax                  |    317-252-0317
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Provider Business Mailing Address
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    Address Line         |    9393 N 90TH ST 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-5040
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    Country              |    US
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    Telephone            |    317-702-8919
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    Fax                  |    317-252-0317
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |     DONNA D BRAGG 
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    Credential           |    
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    Telephone            |    317-702-8919
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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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