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General NPI Number Information
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NPI Number | 1881995413
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Entity Type | Organization
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Legal Business Name | ANGEL HELPERS SENIOR CARE LLC
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 11/12/2010
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Provider Practice Location Address
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Address Line | 30448 RANCHO VIEJO RD STE 105
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1572
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Country | US
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Telephone | 949-444-4695
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Fax | 888-798-0185
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Provider Business Mailing Address
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Address Line | 30448 RANCHO VIEJO RD STE 105
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1572
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Country | US
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Telephone | 949-444-4695
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Fax | 888-798-0185
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Authorized Official
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Title or Position | OWNER
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Name | MAUREEN JENSEN
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Credential | RN MBA
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Telephone | 949-444-4695
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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 | 308656
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License Number State | CA
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