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General NPI Number Information
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NPI Number | 1639350531
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Entity Type | Organization
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Legal Business Name | ATTENDING ANGELS, LLC
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 20400 LAKEWORTH ST
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City | ROSEVILLE
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State | MI
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Zip | 48066-1125
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Country | US
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Telephone | 586-554-0373
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Fax | 586-285-1672
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Provider Business Mailing Address
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Address Line | 20400 LAKEWORTH ST
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City | ROSEVILLE
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State | MI
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Zip | 48066-1125
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Country | US
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Telephone | 586-554-0373
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Fax | 586-285-1672
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Authorized Official
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Title or Position | OWNER
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Name | MS. KIM RENE' MONNETTE
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Credential |
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Telephone | 586-554-0373
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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 | D2535A
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License Number State | MI
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