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General NPI Number Information
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NPI Number | 1891618153
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Entity Type | Organization
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Legal Business Name | ANGELUS CARE LLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 167 OPAL ST
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City | ELMONT
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State | NY
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Zip | 11003-4309
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Country | US
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Telephone | 917-755-6697
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Fax |
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Provider Business Mailing Address
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Address Line | 167 OPAL ST
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City | ELMONT
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State | NY
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Zip | 11003-4309
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Country | US
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Telephone | 917-755-6697
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TONYA OLADIRAN
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Credential | MHA, MBA, LNHA
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Telephone | 917-755-6697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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