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General NPI Number Information
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NPI Number | 1851154793
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Entity Type | Organization
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Legal Business Name | ANGELS HEALTH LIFE INC
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 811 NW 43RD AVE APT 240
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City | MIAMI
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State | FL
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Zip | 33126-3672
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Country | US
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Telephone | 786-483-5721
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Fax |
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Provider Business Mailing Address
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Address Line | 811 NW 43RD AVE APT 240
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City | MIAMI
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State | FL
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Zip | 33126-3672
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Country | US
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Telephone | 786-483-5721
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISET CARMENATE RUIZ
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Credential |
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Telephone | 786-483-5721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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