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General NPI Number Information
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NPI Number | 1538625835
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANGEL HOME HEALTH, INC
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 1611 PEBBLE BEACH DR
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City | BOWIE
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State | MD
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Zip | 20721-2375
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Country | US
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Telephone | 703-504-8322
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Fax | 703-454-0722
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Provider Business Mailing Address
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Address Line | 1611 PEBBLE BEACH DR
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City | BOWIE
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State | MD
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Zip | 20721-2375
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Country | US
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Telephone | 703-504-8322
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Fax | 703-454-0722
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CHINYERE OTUYA
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Credential | RN
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Telephone | 703-504-8322
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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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