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General NPI Number Information
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NPI Number | 1528456456
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Entity Type | Organization
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Legal Business Name | ANGELS UNITED
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 21 OVERLOOK RIDGE TER UNIT 420
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City | REVERE
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State | MA
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Zip | 02151-1190
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Country | US
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Telephone | 857-928-9573
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Fax |
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Provider Business Mailing Address
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Address Line | 21 OVERLOOK RIDGE TER UNIT 420
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City | REVERE
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State | MA
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Zip | 02151-1190
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Country | US
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Telephone | 857-928-9573
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MICHEAL DEMBA
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Credential |
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Telephone | 857-928-9573
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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 |
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License Number State | MA
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