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General NPI Number Information
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NPI Number | 1790073500
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Entity Type | Organization
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Legal Business Name | SADIE'S ANGELS LLC
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 3280 HORIZON DR
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City | LANCASTER
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State | PA
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Zip | 17601-1216
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Country | US
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Telephone | 717-917-1420
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Fax | 717-685-3651
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Provider Business Mailing Address
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Address Line | 3280 HORIZON DR
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City | LANCASTER
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State | PA
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Zip | 17601-1216
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Country | US
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Telephone | 717-917-1420
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Fax | 717-685-3651
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Authorized Official
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Title or Position | PARTNER
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Name | MISS DAWN AUBREY BROWN
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Credential | LPN
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Telephone | 717-917-1420
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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 | 21713601
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License Number State | PA
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