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General NPI Number Information
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NPI Number | 1114373479
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Entity Type | Organization
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Legal Business Name | CARE SOLUTIONS OF TIDEWATER, LLC
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 2021 CUNNINGHAM DR STE 216
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City | HAMPTON
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State | VA
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Zip | 23666-3369
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Country | US
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Telephone | 757-224-8490
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 CUNNINGHAM DR STE 216
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City | HAMPTON
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State | VA
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Zip | 23666-3369
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Country | US
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Telephone | 757-224-8490
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MRS. MELISSA DULONG
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Credential | MSW
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Telephone | 757-224-8490
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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-16422
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License Number State | VA
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