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General NPI Number Information
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NPI Number | 1578064499
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Entity Type | Organization
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Legal Business Name | ANGELS OF MERCY COUNSELING CENTER INC.
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 85 SCHLEIGEL BLVD
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City | AMITYVILLE
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State | NY
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Zip | 11701-1320
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Country | US
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Telephone | 631-608-1740
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Fax | 631-608-2989
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Provider Business Mailing Address
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Address Line | 85 SCHLEIGEL BLVD
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City | AMITYVILLE
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State | NY
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Zip | 11701-1320
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Country | US
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Telephone | 631-608-1740
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Fax |
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Authorized Official
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Title or Position | CEO/EXECUTIVE DIRECTOR
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Name | MICHELE BUTLER I
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Credential |
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Telephone | 631-520-8240
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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 | 2292L001
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License Number State | NY
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