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General NPI Number Information
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NPI Number | 1811582075
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Entity Type | Organization
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Legal Business Name | ANGEL HOME HEALTH LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 3498 CLAYTON RD STE 101
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City | CONCORD
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State | CA
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Zip | 94519-2461
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Country | US
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Telephone | 925-689-2395
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Fax | 925-887-6558
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Provider Business Mailing Address
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Address Line | 4086 TULARE DR
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City | CONCORD
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State | CA
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Zip | 94521-1704
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Country | US
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Telephone | 925-890-8953
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | DING WANG
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Credential |
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Telephone | 925-890-8953
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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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