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General NPI Number Information
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NPI Number | 1073902649
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Entity Type | Organization
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Legal Business Name | COMMCENTRIX HOME CARE SERVICES, INC
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 3219 COLUMBIA PIKE STE 200
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City | ARLINGTON
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State | VA
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Zip | 22204-4357
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Country | US
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Telephone | 571-431-7682
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Fax | 571-431-7729
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Provider Business Mailing Address
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Address Line | 3219 COLUMBIA PIKE STE 200
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City | ARLINGTON
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State | VA
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Zip | 22204-4357
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Country | US
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Telephone | 571-431-7682
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Fax | 571-431-7729
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TAWAKALITU KOMOLAFE-AKIREMI
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Credential |
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Telephone | 571-431-7682
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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 | HCO151218
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License Number State | VA
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