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General NPI Number Information
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NPI Number | 1841599214
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Entity Type | Organization
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Legal Business Name | HEALING ANGEL HEALTH CARE SERVICES
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 15227 SHELLWOOD LN
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City | FRISCO
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State | TX
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Zip | 75035-6465
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Country | US
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Telephone | 862-220-0704
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Fax | 972-540-1779
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Provider Business Mailing Address
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Address Line | 15227 SHELLWOOD LN
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City | FRISCO
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State | TX
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Zip | 75035-6465
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Country | US
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Telephone | 862-220-0704
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Fax | 972-540-1779
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Authorized Official
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Title or Position | RN,ADMINISTRATOR
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Name | ELIZABETH A OBISELU
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Credential |
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Telephone | 862-220-0704
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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 | 745554
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License Number State | TX
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