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General NPI Number Information
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NPI Number | 1508398595
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Entity Type | Organization
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Legal Business Name | CARING ANGELS IN HOME CARE LLC
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Dates
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Enumeration Date | 03/30/2017
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 23117 NE ARATA RD
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City | WOOD VILLAGE
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State | OR
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Zip | 97060-2702
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Country | US
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Telephone | 503-465-8394
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Fax |
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Provider Business Mailing Address
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Address Line | 23117 NE ARATA RD
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City | WOOD VILLAGE
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State | OR
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Zip | 97060-2702
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Country | US
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Telephone | 503-465-8394
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | CHRISANDRA DEE CAMPOS NAZARIO
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Credential | CNA2
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Telephone | 971-302-1289
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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 | 129966198
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License Number State | OR
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