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General NPI Number Information
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NPI Number | 1053861674
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Entity Type | Organization
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Legal Business Name | AT HOME CARE STAFFING - WARSAW
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 4677 RICHMOND
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City | ROAD WARSAW
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State | VA
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Zip | 22572-1828
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Country | US
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Telephone | 804-358-0631
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Fax | 804-612-3716
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Provider Business Mailing Address
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Address Line | 5700 OLD RICHMOND AVE SUITE D18
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City | RICHMOND
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State | VA
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Zip | 23226-1828
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Country | US
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Telephone | 804-358-0631
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Fax | 804-612-3716
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Authorized Official
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Title or Position | VP
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Name | CURTIS KASSAB
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Credential |
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Telephone | 804-358-0631
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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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