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General NPI Number Information
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NPI Number | 1124775432
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Entity Type | Organization
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Legal Business Name | HAPPILY MOM COMPANY LLC
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 204 S IRVING ST
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City | ARLINGTON
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State | VA
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Zip | 22204-1728
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Country | US
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Telephone | 859-382-2445
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Fax |
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Provider Business Mailing Address
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Address Line | 204 S IRVING ST
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City | ARLINGTON
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State | VA
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Zip | 22204-1728
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOYANNA GRACE DELSHAD
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Credential | RN, BSN
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Telephone | 859-382-2445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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