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General NPI Number Information
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NPI Number | 1528870904
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Entity Type | Organization
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Legal Business Name | ANGEL SUPPORT HOME CARE, LLC
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1700 MARKET ST STE 1005
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City | PHILADELPHIA
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State | PA
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Zip | 19103-3920
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Country | US
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Telephone | 347-468-0899
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Fax |
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Provider Business Mailing Address
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Address Line | 8930 184TH PL FL 1
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City | HOLLIS
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State | NY
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Zip | 11423-1806
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Country | US
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Telephone | 347-468-0899
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | MR. MD HOSSAIN SIDDIQI
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Credential |
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Telephone | 347-468-0899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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