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General NPI Number Information
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NPI Number | 1740573112
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Entity Type | Organization
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Legal Business Name | AN ANGELS TOUCH HOMEMAKER COMPANION CARE
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 6205 TRAVIS BLVD
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City | TAMPA
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State | FL
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Zip | 33610-5501
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Country | US
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Telephone | 813-325-5630
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Fax | 813-441-8679
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Provider Business Mailing Address
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Address Line | 2527 ANNAPOLIS WAY APT 109
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City | BRANDON
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State | FL
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Zip | 33511-2344
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Country | US
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Telephone | 813-325-5630
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Fax | 813-441-8679
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Authorized Official
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Title or Position | OWNER.ADMINISTRATOR
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Name | MRS. YOLANDA MONIQUE MURRELL-HALL
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Credential |
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Telephone | 813-325-5630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 830703
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License Number State | FL
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