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General NPI Number Information
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NPI Number | 1003120288
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Entity Type | Organization
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Legal Business Name | ABIEN HOME CARE, INC.
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 14511-A JEFFERSON DAVIS HWY
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City | WOODBRIDGE
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State | VA
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Zip | 22191
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Country | US
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Telephone | 703-200-3314
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Fax | 703-494-9097
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Provider Business Mailing Address
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Address Line | 14511A JEFFERSON DAVIS HWY
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City | WOODBRIDGE
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State | VA
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Zip | 22191-2807
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Country | US
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Telephone | 703-200-3314
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELENOUR YEBAH EBENKI
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Credential | RN
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Telephone | 703-200-3314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0001192433
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License Number State | VA
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