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General NPI Number Information
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NPI Number | 1851786131
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Entity Type | Organization
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Legal Business Name | ANGELS ADULT PLUS SERVICES
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 1502 SW CURRY ST
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-3010
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Country | US
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Telephone | 772-708-8430
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Fax | 917-534-6006
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Provider Business Mailing Address
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Address Line | 1502 SW CURRY ST
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-3010
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Country | US
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Telephone | 772-708-8430
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Fax | 917-534-6006
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Authorized Official
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Title or Position | CO OWNER
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Name | LYDIA ROMERO
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Credential |
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Telephone | 772-708-8430
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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 | 233906
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 233906
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License Number State | FL
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