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General NPI Number Information
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NPI Number | 1609922012
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Entity Type | Organization
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Legal Business Name | ANGELS CARE NURSING SERVICES, INC.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13663 PRAIRIE AVE SUITE D
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City | HAWTHORNE
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State | CA
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Zip | 90250-7372
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Country | US
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Telephone | 310-675-6767
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Fax | 310-675-6737
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Provider Business Mailing Address
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Address Line | 13663 PRAIRIE AVE SUITE D
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City | HAWTHORNE
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State | CA
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Zip | 90250-7372
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Country | US
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Telephone | 310-675-6767
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Fax | 310-675-6737
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. THERESA ADUBA
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Credential | RN
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Telephone | 310-675-6767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 24005415
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License Number State | CA
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