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General NPI Number Information
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NPI Number | 1942566278
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Entity Type | Organization
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Legal Business Name | ANGELUS HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 123 W WASHINGTON ST SUITE 330
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City | OSWEGO
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State | IL
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Zip | 60543-8214
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Country | US
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Telephone | 630-791-9061
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Fax | 800-317-5711
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Provider Business Mailing Address
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Address Line | 123 W WASHINGTON ST SUITE 330
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City | OSWEGO
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State | IL
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Zip | 60543-8214
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Country | US
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Telephone | 630-791-9061
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Fax | 800-317-5711
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AKSHAY PATEL
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Credential |
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Telephone | 630-791-9061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | IL
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