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General NPI Number Information
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NPI Number | 1154739282
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Entity Type | Organization
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Legal Business Name | DD LOVING HOME HEALTH CARE, LLC.
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 1600 TYSONS BLVD
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City | MC LEAN
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State | VA
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Zip | 22102-4865
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Country | US
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Telephone | 703-870-1469
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Fax | 866-898-2688
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Provider Business Mailing Address
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Address Line | 1600 TYSONS BLVD
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City | MC LEAN
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State | VA
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Zip | 22102-4865
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Country | US
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Telephone | 703-870-1469
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Fax | 866-898-2688
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. DEMI KELLEY
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Credential | RN
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Telephone | 703-870-1469
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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 | R3888
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License Number State | MD
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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-151176
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License Number State | VA
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