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General NPI Number Information
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NPI Number | 1740799022
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Entity Type | Organization
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Legal Business Name | ANGEL DAY CARE LLC
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 815 W WAGNER CT
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City | GILBERT
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State | AZ
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Zip | 85233
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Country | US
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Telephone | 732-593-7490
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Fax |
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Provider Business Mailing Address
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Address Line | 500 S GILBERT RD
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City | GILBERT
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State | AZ
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Zip | 85296-2202
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Country | US
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Telephone | 480-630-6211
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIHIR PATEL
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Credential |
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Telephone | 732-593-7490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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