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General NPI Number Information
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NPI Number | 1922199025
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Entity Type | Organization
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Legal Business Name | ANGELIC TOUCH CARE SERVICES, INC.
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 112 EVANGELINE BLVD
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City | SAINT MARTINVILLE
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State | LA
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Zip | 70582-4541
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Country | US
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Telephone | 337-394-3840
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Fax | 337-394-7762
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Provider Business Mailing Address
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Address Line | PO BOX 615
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City | SAINT MARTINVILLE
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State | LA
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Zip | 70582-0615
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Country | US
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Telephone | 337-394-3840
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Fax | 337-394-7762
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DIANNE D CHAMPAGNE
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Credential |
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Telephone | 337-394-3840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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