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General NPI Number Information
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NPI Number | 1770272510
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Entity Type | Organization
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Legal Business Name | ANGELS WINGS HOME CARE LLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 13909 84TH DR APT 406
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City | BRIARWOOD
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State | NY
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Zip | 11435-1821
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Country | US
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Telephone | 609-442-7695
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 HANNAH AVE APT C222
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City | EAST NORRITON
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State | PA
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Zip | 19401-1592
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Country | US
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Telephone | 609-442-7695
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Fax |
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Authorized Official
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Title or Position | HHA
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Name | MISS STEPHANIE ITRICHA ATKINSON
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Credential | HOME HEALTH AIDE
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Telephone | 609-442-7695
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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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