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General NPI Number Information
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NPI Number | 1639970445
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Entity Type | Organization
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Legal Business Name | ARCHANGLE SENIOR CARE LLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 765 N MAIN ST
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City | CORONA
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State | CA
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Zip | 92878-1440
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Country | US
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Telephone | 626-206-8242
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Fax |
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Provider Business Mailing Address
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Address Line | 310 N INDIAN HILL BLVD STE 537
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City | CLAREMONT
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State | CA
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Zip | 91711-4611
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Country | US
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Telephone | 626-206-8242
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | HASSAN ALI
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Credential |
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Telephone | 626-206-8242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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