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General NPI Number Information
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NPI Number | 1841622479
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Entity Type | Organization
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Legal Business Name | ANGELS IN HOME CARE, LLC
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 3003 CLAY CIR
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City | SARASOTA
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State | FL
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Zip | 34234-6313
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Country | US
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Telephone | 941-677-0075
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Fax | 941-343-2545
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Provider Business Mailing Address
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Address Line | 3003 CLAY CIR
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City | SARASOTA
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State | FL
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Zip | 34234-6313
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Country | US
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Telephone | 941-677-0075
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Fax | 941-343-2545
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Authorized Official
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Title or Position | MANAGER
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Name | ELOISE G DIXON
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Credential | NRCMA
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Telephone | 941-586-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 79963-927955053011
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License Number State | FL
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