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General NPI Number Information
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NPI Number | 1861311326
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Entity Type | Organization
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Legal Business Name | ANGEL ON THE HUDSON INC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 50 HARRISON ST STE 211A
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City | HOBOKEN
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State | NJ
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Zip | 07030-6087
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Country | US
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Telephone | 201-533-1415
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Fax |
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Provider Business Mailing Address
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Address Line | 50 HARRISON ST STE 211A
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City | HOBOKEN
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State | NJ
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Zip | 07030-6087
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Country | US
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Telephone | 201-533-1415
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | DAVD GAVILANES
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Credential |
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Telephone | 201-927-0051
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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 |
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License Number State |
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