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General NPI Number Information
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NPI Number | 1932614146
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Entity Type | Organization
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Legal Business Name | CARING ANGELS HOMECARE INC
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 12/11/2017
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Provider Practice Location Address
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Address Line | 1071 CAMBRIDGE SQ STE C
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City | ALPHARETTA
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State | GA
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Zip | 30009-1843
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Country | US
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Telephone | 919-649-6435
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Fax |
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Provider Business Mailing Address
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Address Line | 1071 CAMBRIDGE SQ STE C
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City | ALPHARETTA
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State | GA
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Zip | 30009-1843
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Country | US
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Telephone | 404-528-9652
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Fax |
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Authorized Official
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Title or Position | PROGRAM CONSULTANT
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Name | RONCHELLE MACK
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Credential |
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Telephone | 404-528-9652
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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 | 060R1431
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License Number State | GA
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