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General NPI Number Information
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NPI Number | 1942810809
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Entity Type | Organization
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Legal Business Name | PURPOSEFUL ANGELS HOME CARE LLC
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 6701 KOLL CENTER PKWY STE 250
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City | PLEASANTON
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State | CA
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Zip | 94566-8062
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Country | US
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Telephone | 209-362-0425
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Fax | 209-297-4319
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Provider Business Mailing Address
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Address Line | 333 DANBURY PL
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City | LATHROP
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State | CA
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Zip | 95330-8877
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Country | US
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Telephone | 510-910-4033
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADESUWA OLABANJI
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Credential | CSCM
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Telephone | 510-910-4033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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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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