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General NPI Number Information
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NPI Number | 1134648413
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Entity Type | Organization
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Legal Business Name | ALANNAH ANGELS CARE, LLC
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 47672 COMER SQ
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City | STERLING
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State | VA
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Zip | 20165
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Country | US
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Telephone | 202-378-3494
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Fax |
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Provider Business Mailing Address
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Address Line | 47672 COMER SQ
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City | STERLING
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State | VA
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Zip | 20165-7459
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Country | US
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Telephone | 202-378-3494
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MASOUMEH MIRHADY
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Credential |
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Telephone | 202-378-3494
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-1716
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License Number State | VA
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