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General NPI Number Information
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NPI Number | 1699938852
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Entity Type | Organization
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Legal Business Name | HEALTH ANGELS STAFFING AGENCY, LLC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 200 JOE AVE
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City | HOHENWALD
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State | TN
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Zip | 38462-2002
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Country | US
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Telephone | 931-796-1118
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Fax |
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Provider Business Mailing Address
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Address Line | 200 JOE AVE
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City | HOHENWALD
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State | TN
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Zip | 38462-2002
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Country | US
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Telephone | 931-796-1118
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. LARRY H SKELTON
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Credential |
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Telephone | 931-796-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 14380589568
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License Number State | TN
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