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General NPI Number Information
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NPI Number | 1457797466
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Entity Type | Organization
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Legal Business Name | ATTENDING ANGELS HOME CARE
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 130 HIGHWAY AB
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City | SAINT CLAIR
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State | MO
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Zip | 63077-3002
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Country | US
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Telephone | 314-458-9041
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Fax | 636-629-8088
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Provider Business Mailing Address
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Address Line | 130 HIGHWAY AB
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City | SAINT CLAIR
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State | MO
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Zip | 63077-3002
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Country | US
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Telephone | 143-458-9041
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Fax | 636-629-8088
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MIKE MAHONEY
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Credential |
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Telephone | 314-504-1952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #3
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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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