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General NPI Number Information
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NPI Number | 1750062576
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Entity Type | Organization
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Legal Business Name | ANGEL CARE STAFFING LLC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 45 W 46TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10036-4109
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Country | US
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Telephone | 917-214-1526
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Fax |
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Provider Business Mailing Address
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Address Line | 14020 BASCOM AVE
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City | JAMAICA
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State | NY
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Zip | 11436-1713
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. GABRIEL AKINYEMI
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Credential | NP
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Telephone | 917-214-1526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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