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General NPI Number Information
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NPI Number | 1003379587
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Entity Type | Organization
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Legal Business Name | XCELLENCE HOME HEALTH INC
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 4041 TAYLOR RD STE E
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5525
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Country | US
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Telephone | 757-685-1913
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Fax |
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Provider Business Mailing Address
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Address Line | 3012 KEMPTON PARK RD
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City | SUFFOLK
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State | VA
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Zip | 23435-2553
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Country | US
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Telephone | 757-685-1913
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROSA MARIE MURRY
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Credential |
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Telephone | 757-685-1913
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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 |
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License Number State |
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