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General NPI Number Information
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NPI Number | 1427735265
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Entity Type | Organization
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Legal Business Name | ELDERS ANGEL LLC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 8525 GIBBS DR STE 304
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City | SAN DIEGO
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State | CA
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Zip | 92123-1700
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Country | US
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Telephone | 858-868-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 8525 GIBBS DR STE 304
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City | SAN DIEGO
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State | CA
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Zip | 92123-1700
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Country | US
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Telephone | 858-868-1577
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. MADALINA IOANA RUSOIU
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Credential |
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Telephone | 858-868-1577
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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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