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General NPI Number Information
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NPI Number | 1811556848
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Entity Type | Organization
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Legal Business Name | MI'ANGELS CARETAKERS LLC
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 942 DOUGHERTY RD STE C
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City | AIKEN
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State | SC
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Zip | 29803-6559
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Country | US
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Telephone | 803-226-3920
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Fax | 864-484-8561
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Provider Business Mailing Address
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Address Line | 942 DOUGHERTY RD STE C
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City | AIKEN
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State | SC
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Zip | 29803-6559
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Country | US
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Telephone | 803-226-3920
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Fax | 864-484-8561
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Authorized Official
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Title or Position | OWNER
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Name | EBONY JOHNSON
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Credential |
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Telephone | 803-226-3920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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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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