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General NPI Number Information
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NPI Number | 1427599240
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Entity Type | Organization
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Legal Business Name | ANGELIC HEARTS HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 25400 US 19 N STE 175
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City | CLEARWATER
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State | FL
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Zip | 33763-2149
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Country | US
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Telephone | 727-726-8518
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Fax |
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Provider Business Mailing Address
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Address Line | 25400 US 19 N STE 175
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City | CLEARWATER
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State | FL
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Zip | 33763-2149
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Country | US
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Telephone | 727-726-8518
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | HEATHER N LESFLORIS
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Credential |
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Telephone | 727-510-2863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 30211895
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License Number State | FL
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