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General NPI Number Information
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NPI Number | 1730653858
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Entity Type | Organization
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Legal Business Name | ANGEL-PALMS HOME HEALTH CARE
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 4600 SW 34TH ST STE 1
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City | ORLANDO
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State | FL
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Zip | 32811-6450
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Country | US
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Telephone | 407-300-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 5429 POINTE VISTA CIR APT 104
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City | ORLANDO
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State | FL
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Zip | 32839-8422
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Country | US
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Telephone | 407-484-0952
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. COLLINS AFANWI
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Credential | COO
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Telephone | 904-865-7777
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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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