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General NPI Number Information
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NPI Number | 1811227770
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Entity Type | Organization
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Legal Business Name | ANGELS ON HIGH, INC.
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 48 HIGH ST
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-1514
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Country | US
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Telephone | 207-767-5820
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Fax | 207-799-5225
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Provider Business Mailing Address
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Address Line | 171 OCEAN STREET SUITE 100
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106
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Country | US
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Telephone | 207-767-5820
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Fax | 207-799-5225
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANGEL M. HAMILTON
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Credential |
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Telephone | 207-767-5820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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