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General NPI Number Information
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NPI Number | 1881368124
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Entity Type | Organization
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Legal Business Name | ANN'S ANGELS HOME CARE
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 1778 GRAYWOOD DR SE
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City | MABLETON
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State | GA
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Zip | 30126-5731
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Country | US
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Telephone | 216-543-5877
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Fax |
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Provider Business Mailing Address
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Address Line | 1778 GRAYWOOD DR SE
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City | MABLETON
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State | GA
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Zip | 30126-5731
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTOYA TAYLOR
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Credential |
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Telephone | 216-543-5877
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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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