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General NPI Number Information
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NPI Number | 1508120718
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Entity Type | Organization
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Legal Business Name | ANGELS OF HOPE COMPANION SERVICES LLC
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 07/02/2012
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Provider Practice Location Address
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Address Line | 3501 TOWNSEND BLVD APT 134
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City | JACKSONVILLE
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State | FL
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Zip | 32277-2716
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Country | US
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Telephone | 904-300-3189
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 TOWNSEND BLVD APT 134
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City | JACKSONVILLE
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State | FL
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Zip | 32277-2716
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Country | US
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Telephone | 904-300-3189
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | ARLINDA LOUISE JOHNSON
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Credential | HOMEMAKER/COMPANION
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Telephone | 904-300-3189
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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 | 231943
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License Number State | FL
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