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General NPI Number Information
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NPI Number | 1003316886
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Entity Type | Organization
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Legal Business Name | ACTIVE HEALTH SOLUTIONS PLLC
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Dates
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Enumeration Date | 02/18/2018
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 901 N POLLARD ST APT 812
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City | ARLINGTON
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State | VA
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Zip | 22203-4091
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Country | US
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Telephone | 419-944-8882
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Fax |
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Provider Business Mailing Address
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Address Line | 901 N POLLARD ST APT 812
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City | ARLINGTON
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State | VA
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Zip | 22203-4091
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Country | US
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Telephone | 419-944-8882
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE KEENER KOSLOW
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Credential | DPT
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Telephone | 240-630-2248
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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 | PT871941
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License Number State | DC
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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 | 26855
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2305211698
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License Number State | VA
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