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General NPI Number Information
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NPI Number | 1720429277
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Entity Type | Organization
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Legal Business Name | AN ANGEL FOR YOU
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 328C SPARTA AVE
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City | SPARTA
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State | NJ
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Zip | 07871-1168
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Country | US
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Telephone | 973-726-3010
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Fax | 973-726-3018
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Provider Business Mailing Address
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Address Line | 328C SPARTA AVE
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City | SPARTA
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State | NJ
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Zip | 07871-1168
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Country | US
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Telephone | 973-726-3010
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Fax | 973-726-3018
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LAUREN REID
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Credential |
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Telephone | 973-726-3010
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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 | HP0155100
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License Number State | NJ
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