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General NPI Number Information
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NPI Number | 1154139137
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Entity Type | Organization
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Legal Business Name | LANDMARK HOME CARE SERVICE LLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 901 S HIGHLAND ST STE 311
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City | ARLINGTON
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State | VA
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Zip | 22204-2459
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Country | US
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Telephone | 703-566-1675
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Fax | 703-566-1713
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Provider Business Mailing Address
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Address Line | 901 S HIGHLAND ST STE 311
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City | ARLINGTON
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State | VA
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Zip | 22204-2459
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Country | US
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Telephone | 703-566-1675
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Fax | 703-566-1713
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SELAMAWIT BEZABEH
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Credential | DO
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Telephone | 703-566-1675
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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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