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General NPI Number Information
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NPI Number | 1073055000
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Entity Type | Organization
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Legal Business Name | LAURA'S TENDER TOUCH
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 3707 VIRGINIA BEACH BLVD SUITE 213
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-3412
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Country | US
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Telephone | 757-340-3900
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Fax | 757-340-3902
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Provider Business Mailing Address
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Address Line | 3707 VIRGINIA BEACH BLVD SUITE 213
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-3412
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Country | US
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Telephone | 757-340-3900
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Fax | 757-340-3902
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Authorized Official
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Title or Position | PART OWNER
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Name | MS. LATASHA FOSTER
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Credential |
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Telephone | 757-340-3900
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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 | 2016-264373-R
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License Number State | VA
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