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General NPI Number Information
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NPI Number | 1720294291
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Entity Type | Organization
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Legal Business Name | ANGEL MEDICAL EQUIPMENT & SUPPLIES INC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 1325 E MISSOURI AVE
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City | EL PASO
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State | TX
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Zip | 79902-5508
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Country | US
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Telephone | 915-587-6261
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Fax | 915-544-9444
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Provider Business Mailing Address
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Address Line | 1317 E MISSOURI AVE
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City | EL PASO
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State | TX
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Zip | 79902-5508
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SEOKLEE BROWN
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Credential | RN
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Telephone | 915-256-5060
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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 | 0043184
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License Number State | TX
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