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General NPI Number Information
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NPI Number | 1629504469
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Entity Type | Organization
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Legal Business Name | AN ANGEL'S HANDS LLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 1224 MORROW DR
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City | SOCIAL CIRCLE
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State | GA
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Zip | 30025-2795
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Country | US
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Telephone | 678-986-4042
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Fax |
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Provider Business Mailing Address
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Address Line | 1224 MORROW DR
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City | SOCIAL CIRCLE
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State | GA
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Zip | 30025-2795
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Country | US
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Telephone | 678-986-4042
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATASHA L SHORT
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Credential |
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Telephone | 678-986-4042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 147-R-1362
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License Number State | GA
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