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General NPI Number Information
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NPI Number | 1902662505
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Entity Type | Organization
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Legal Business Name | CARING ANGELS INTERNATIONAL OF PENNSYLVANIA, LLC
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 6924 GARMAN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19142-2121
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Country | US
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Telephone | 302-482-1577
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Fax | 302-286-7521
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Provider Business Mailing Address
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Address Line | 12 MAPLESHADE RD
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City | NEWARK
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State | DE
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Zip | 19702-8419
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Country | US
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Telephone | 302-983-4692
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Fax | 302-282-7521
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Authorized Official
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Title or Position | OWNER
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Name | AMOS CLAY TARLEY SR.
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Credential |
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Telephone | 302-983-4692
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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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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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