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General NPI Number Information
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NPI Number | 1962808972
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Entity Type | Organization
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Legal Business Name | DEAR ANGELS HEALTHCARE SERVICES
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 2301 PERFORMANCE DR #128
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City | RICHARDSON
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State | TX
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Zip | 75082-4536
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Country | US
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Telephone | 214-592-5174
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Fax | 214-853-5891
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Provider Business Mailing Address
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Address Line | 2301 PERFORMANCE DR #128
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City | RICHARDSON
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State | TX
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Zip | 75082-4536
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Country | US
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Telephone | 214-592-5174
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Fax | 214-853-5891
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS KATE OKWESA
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Credential | RN
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Telephone | 214-592-5174
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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 | 015757
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License Number State | TX
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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 | 015757
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License Number State | TX
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