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General NPI Number Information
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NPI Number | 1538596283
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Entity Type | Organization
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Legal Business Name | ANGELS HOME SERVICE INC
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 2524 BRITTANY PARK LN
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City | ELLENWOOD
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State | GA
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Zip | 30294-6278
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Country | US
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Telephone | 678-788-5956
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Fax | 404-795-1040
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Provider Business Mailing Address
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Address Line | 2524 BRITTANY PARK LN
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City | ELLENWOOD
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State | GA
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Zip | 30294-6278
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Country | US
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Telephone | 678-788-5956
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Fax | 404-795-1040
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Authorized Official
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Title or Position | VP
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Name | DONNA FORBES
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Credential |
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Telephone | 678-788-5946
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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 |
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