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General NPI Number Information
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NPI Number | 1760222616
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Entity Type | Organization
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Legal Business Name | ANGEL CARE MEDICAL LLC
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 85 KARAGO AVE UNIT 11-12
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City | BOARDMAN
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State | OH
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Zip | 44512-5969
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Country | US
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Telephone | 330-953-1833
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Fax |
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Provider Business Mailing Address
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Address Line | 85 KARAGO AVE UNIT 11-12
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City | BOARDMAN
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State | OH
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Zip | 44512-5969
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Country | US
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Telephone | 330-953-1833
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL HALAS
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Credential |
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Telephone | 330-718-5689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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