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General NPI Number Information
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NPI Number | 1881109783
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Entity Type | Organization
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Legal Business Name | ANGELS ON DUTY LLC
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 124 N MAIN ST
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City | DUMAS
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State | AR
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Zip | 71639-2219
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Country | US
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Telephone | 501-786-5032
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Fax | 870-382-0940
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Provider Business Mailing Address
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Address Line | PO BOX 6502
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City | SHERWOOD
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State | AR
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Zip | 72124-6502
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Country | US
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Telephone | 501-786-5032
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MERISSA GRIFFIN
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Credential |
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Telephone | 501-786-5032
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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 |
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License Number State |
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