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General NPI Number Information
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NPI Number | 1568974962
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Entity Type | Organization
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Legal Business Name | ANGELS FOR LIFE HOME CARE,LLC,
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 11365 SW 160TH PL
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City | MIAMI
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State | FL
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Zip | 33196-4281
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Country | US
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Telephone | 786-452-7723
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Fax |
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Provider Business Mailing Address
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Address Line | 11365 SW 160TH PL
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City | MIAMI
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State | FL
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Zip | 33196-4281
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Country | US
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Telephone | 786-312-0173
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/MANAGER
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Name | MRS. MARIANGEL ELIZABETH FEITO
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Credential |
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Telephone | 786-452-7723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State | FL
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