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General NPI Number Information
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NPI Number | 1982298923
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Entity Type | Organization
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Legal Business Name | ANGELICARE CONSULTING LLC
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Dates
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Enumeration Date | 02/20/2021
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Last Update Date | 02/20/2021
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Provider Practice Location Address
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Address Line | 17701 SUMA LAKE DR Q203
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City | LIVINGSTON
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State | LA
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Zip | 70754
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Country | US
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Telephone | 225-400-2244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2315
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City | DENHAM SPRINGS
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State | LA
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Zip | 70727-2315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELICA CLARK
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Credential |
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Telephone | 225-400-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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