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General NPI Number Information
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NPI Number | 1689091456
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANGELS HOMECARE INC
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 3200 O ST
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City | LINCOLN
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State | NE
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Zip | 68510-1510
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Country | US
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Telephone | 402-474-4000
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Fax | 775-305-2470
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Provider Business Mailing Address
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Address Line | 3200 O ST
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City | LINCOLN
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State | NE
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Zip | 68510-1510
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Country | US
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Telephone | 402-474-4000
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Fax | 775-305-2470
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. CHRISTINE K SUEVERKRUEPP
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Credential | CNA,MA
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Telephone | 402-474-4000
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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 |
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License Number State |
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