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General NPI Number Information
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NPI Number | 1740551258
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Entity Type | Organization
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Legal Business Name | WHITE ANGELS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 01/16/2012
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Last Update Date | 01/16/2012
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Provider Practice Location Address
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Address Line | 1409 GATEWOOD DR
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City | DENTON
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State | TX
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Zip | 76205-8069
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Country | US
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Telephone | 818-857-1586
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 GATEWOOD DR
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City | DENTON
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State | TX
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Zip | 76205-8069
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Country | US
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Telephone | 818-857-1586
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS SOHEILA SORIA
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Credential |
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Telephone | 818-857-1586
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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 | 364302654
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License Number State | TX
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