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General NPI Number Information
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NPI Number | 1932075678
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Entity Type | Organization
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Legal Business Name | SUPPORTING ANGELS LLC
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 2000 AUBURN DR
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City | BEACHWOOD
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State | OH
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Zip | 44122-4314
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Country | US
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Telephone | 463-224-6732
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 AUBURN DR
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City | BEACHWOOD
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State | OH
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Zip | 44122-4314
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Country | US
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Telephone | 463-224-6732
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TINA ANTHONY
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Credential |
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Telephone | 317-518-9147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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