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General NPI Number Information
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NPI Number | 1750840591
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Entity Type | Organization
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Legal Business Name | HANDS OF ANGELS HOMECARE
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 9915 E 63RD ST STE E
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City | RAYTOWN
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State | MO
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Zip | 64133-5021
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Country | US
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Telephone | 816-490-6651
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Fax |
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Provider Business Mailing Address
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Address Line | 9915 E 63RD ST STE E
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City | RAYTOWN
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State | MO
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Zip | 64133-5021
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Country | US
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Telephone | 816-490-6651
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER/ OWNER
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Name | MOZITA PRINCE
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Credential |
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Telephone | 816-517-2868
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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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