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General NPI Number Information
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NPI Number | 1710304365
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Entity Type | Organization
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Legal Business Name | MY ANGEL SITTER
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 1511 GLASHOLM DR
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City | HOUSTON
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State | TX
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Zip | 77073-6185
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Country | US
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Telephone | 917-378-3262
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 GLASHOLM DR
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City | HOUSTON
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State | TX
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Zip | 77073-6185
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Country | US
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Telephone | 917-378-3262
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. NICOLAS PUIG JR.
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Credential |
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Telephone | 917-378-5003
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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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