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General NPI Number Information
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NPI Number | 1912479510
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Entity Type | Organization
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Legal Business Name | ANGELS BLESSINGS COMPANION AND HOME CARE LLC
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 27 PECAN DR
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City | OCALA
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State | FL
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Zip | 34472-9539
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Country | US
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Telephone | 352-403-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 7563 SW 103RD LOOP
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City | OCALA
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State | FL
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Zip | 34476-3768
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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 | LATASHA DIANE WRIGHT
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Credential |
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Telephone | 352-497-0812
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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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