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General NPI Number Information
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NPI Number | 1780078543
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Entity Type | Organization
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Legal Business Name | ANGELS SENIOR HOME HEALTH CARE, CORP.
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 4300 S SEMORAN BLVD SUITE 201
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City | ORLANDO
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State | FL
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Zip | 32822-2484
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Country | US
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Telephone | 407-930-7071
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Fax | 407-930-7072
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Provider Business Mailing Address
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Address Line | 4300 S SEMORAN BLVD SUITE 201
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City | ORLANDO
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State | FL
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Zip | 32822-2484
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Country | US
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Telephone | 407-930-7071
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Fax | 407-930-7072
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERTO SANTIESTEBAN
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Credential |
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Telephone | 407-930-7071
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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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