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NPI 1639413495

NPI 1639413495 : A NURSE ANGELS HOME HEALTH, INC. : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1639413495
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    Entity Type          |    Organization 
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    Legal Business Name  |    A NURSE ANGELS HOME HEALTH, INC. 
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Dates
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    Enumeration Date     |    11/18/2012
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    Last Update Date     |    03/24/2015
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Provider Practice Location Address
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    Address Line         |    6719 FAIRGLEN DR 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76002-5563
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    Country              |    US
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    Telephone            |    817-522-1066
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    Fax                  |    817-628-1677
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Provider Business Mailing Address
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    Address Line         |    PO BOX 183491 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76096-3491
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    Country              |    US
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    Telephone            |    817-522-1066
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    Fax                  |    817-628-1677
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     CATHERINE  LENOIR 
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    Credential           |    
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    Telephone            |    817-522-1066
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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       |    015515
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    License Number State |    TX
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