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General NPI Number Information
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NPI Number | 1033611488
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Entity Type | Organization
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Legal Business Name | THRIVE HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | 6299 LEESBURG PIKE STE C
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2101
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Country | US
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Telephone | 703-992-0484
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Fax | 571-308-2128
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Provider Business Mailing Address
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Address Line | 6299 LEESBURG PIKE STE C
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2101
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Country | US
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Telephone | 703-992-0484
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Fax | 571-308-2128
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Authorized Official
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Title or Position | OWNER
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Name | BLEN ABRAHAM
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Credential | BSN, RN
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Telephone | 703-992-0484
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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 | HCO-1836
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License Number State | VA
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