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General NPI Number Information
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NPI Number | 1124368014
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Entity Type | Organization
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Legal Business Name | ALL STAR HOME HEALTH CARE GROUP, LLC
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 7900 SUDLEY RD STE 302
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City | MANASSAS
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State | VA
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Zip | 20109-2806
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Country | US
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Telephone | 703-361-3333
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Fax | 703-361-3338
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Provider Business Mailing Address
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Address Line | 7900 SUDLEY RD STE 368
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City | MANASSAS
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State | VA
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Zip | 20109-2886
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Country | US
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Telephone | 703-944-1616
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | UBAX JAMA JEYTE
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Credential |
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Telephone | 703-944-1616
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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 | 18935
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License Number State | VA
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Taxonomy #2
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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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