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General NPI Number Information
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NPI Number | 1033752449
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Entity Type | Organization
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Legal Business Name | 1ST YOU HEALTHCARE PROFESSIONALS, LLC
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Dates
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Enumeration Date | 10/18/2019
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 13512 MINNIEVILLE RD STE 260
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4208
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Country | US
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Telephone | 571-501-2552
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Fax |
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Provider Business Mailing Address
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Address Line | 13512 MINNIEVILLE RD STE 260
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4208
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Country | US
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Telephone | 571-501-2552
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RADIA T ADEM
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Credential | RN/BSN
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Telephone | 571-501-2552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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