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General NPI Number Information
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NPI Number | 1669718342
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Entity Type | Organization
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Legal Business Name | ANGELS ON CALL HOMECARE LLC
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 667 STONELEIGH AVE SUITE 302A
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City | CARMEL
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State | NY
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Zip | 10512-2454
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Country | US
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Telephone | 845-628-2255
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Fax | 845-628-2258
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Provider Business Mailing Address
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Address Line | 667 STONELEIGH AVE SUITE 302A
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City | CARMEL
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State | NY
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Zip | 10512-2454
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Country | US
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Telephone | 845-628-2255
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Fax | 845-628-2258
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Authorized Official
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Title or Position | CEO
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Name | MRS. PAMELA FITZPATRICK
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Credential | RN
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Telephone | 845-628-2255
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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 | 1807L001
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License Number State | NY
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