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General NPI Number Information
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NPI Number | 1528680147
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Entity Type | Organization
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Legal Business Name | ANGEL ROSE CARE SERVICES, INC.
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 129 MOORE AVE
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City | FREEPORT
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State | NY
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Zip | 11520-1418
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Country | US
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Telephone | 516-860-4825
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Fax |
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Provider Business Mailing Address
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Address Line | 129 MOORE AVE
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City | FREEPORT
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State | NY
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Zip | 11520-1418
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Country | US
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Telephone | 516-860-4825
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA CACHO
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Credential |
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Telephone | 516-860-4825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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