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General NPI Number Information
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NPI Number | 1568763431
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Entity Type | Organization
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Legal Business Name | ANGELS AT WORK
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 4482 COMMERCE DR SUITE 114
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City | BUFORD
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State | GA
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Zip | 30518-7512
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Country | US
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Telephone | 770-552-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 4482 COMMERCE DR SUITE 114
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City | BUFORD
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State | GA
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Zip | 30518-7512
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Country | US
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Telephone | 770-552-5400
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Fax |
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Authorized Official
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Title or Position | CEO & ADMINISTRATOR
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Name | MRS. ANGEL B. KILGORE
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Credential |
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Telephone | 770-552-5400
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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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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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