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General NPI Number Information
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NPI Number | 1396271466
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Entity Type | Organization
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Legal Business Name | ARCHANGEL HOME CARE
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7520 CUMBER DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-2429
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Country | US
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Telephone | 815-830-6389
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Fax |
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Provider Business Mailing Address
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Address Line | 7520 CUMBER DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653
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Country | US
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Telephone | 815-830-6389
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TENA M OSWALT
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Credential |
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Telephone | 815-830-6389
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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 | L28
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License Number State | FL
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