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General NPI Number Information
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NPI Number | 1700531753
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Entity Type | Organization
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Legal Business Name | TOUCHED BY AN ANGEL
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 6520 ABBEYDALE CT
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City | ORLANDO
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State | FL
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Zip | 32818-8849
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Country | US
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Telephone | 407-316-6664
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Fax |
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Provider Business Mailing Address
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Address Line | 6520 ABBEYDALE CT
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City | ORLANDO
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State | FL
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Zip | 32818-8849
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Country | US
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Telephone | 407-316-6664
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAKIRA SIMMONS
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Credential | CCMA, CPT
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Telephone | 407-316-6664
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number |
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License Number State |
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