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General NPI Number Information
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NPI Number | 1417460155
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANGELS HOME CARE
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 11/15/2017
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Provider Practice Location Address
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Address Line | 385 SMITHFIELD HIGHHOUSE RD
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City | SMITHFIELD
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State | PA
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Zip | 15478-1237
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Country | US
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Telephone | 724-569-1068
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Fax | 724-569-8655
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Provider Business Mailing Address
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Address Line | 385 SMITHFIELD HIGHHOUSE RD
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City | SMITHFIELD
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State | PA
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Zip | 15478-1237
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Country | US
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Telephone | 724-569-1068
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Fax | 724-569-8655
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Authorized Official
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Title or Position | OWNER
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Name | MARY LEADBEATER
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Credential |
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Telephone | 724-569-1068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 11313601
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License Number State | PA
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