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General NPI Number Information
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NPI Number | 1154862423
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE SOUTH HOME HEALTH CARE,LLC
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 425 S MAIN ST
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City | EMPORIA
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State | VA
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Zip | 23847-2300
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Country | US
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Telephone | 804-921-7542
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Fax | 434-848-2155
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Provider Business Mailing Address
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Address Line | 425 S MAIN ST
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City | EMPORIA
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State | VA
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Zip | 23847-2300
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Country | US
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Telephone | 804-921-7542
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Fax | 434-848-2155
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BELINDA D EASTER
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Credential | LPN
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Telephone | 804-921-7542
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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 | HCO 161184
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License Number State | VA
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