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General NPI Number Information
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NPI Number | 1134521354
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Entity Type | Organization
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Legal Business Name | AT HOME CARE STAFFING-CHARLOTTESVILLE
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 198 SPOTNAP RD STE C5
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8614
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Country | US
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Telephone | 804-358-0631
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Fax | 540-302-8033
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Provider Business Mailing Address
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Address Line | 198 SPOTNAP RD STE C5
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8614
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Country | US
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Telephone | 804-358-0631
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Fax | 540-302-8033
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | TAMMY L FRANEY
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Credential |
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Telephone | 804-358-0631
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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 |
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License Number State |
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