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General NPI Number Information
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NPI Number | 1821424094
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Entity Type | Organization
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Legal Business Name | ANGEL CARE TEAM
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 1801 EVELYN DR.
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City | GARLAND
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State | TX
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Zip | 75042
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Country | US
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Telephone | 972-276-1670
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Fax | 650-489-3138
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Provider Business Mailing Address
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Address Line | 1801 EVELYN DR 1801 EVELYN DR
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City | GARLAND
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State | TX
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Zip | 75042-6727
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Country | US
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Telephone | 972-276-1670
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Fax | 650-489-3138
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Authorized Official
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Title or Position | OWNER
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Name | MISS DIANE MOSLEY
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Credential |
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Telephone | 972-276-1670
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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 | 372600000X
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License Number State | TX
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