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General NPI Number Information
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NPI Number | 1164547964
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Entity Type | Organization
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Legal Business Name | AMEDISYS HOME HEALTH INC OF VIRGINIA
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 909 WEST MAIN STREET SUITE B
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City | CLINTWOOD
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State | VA
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Zip | 24228-2130
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Country | US
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Telephone | 276-926-5634
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Fax | 276-926-5639
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6080
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Country | US
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Telephone | 225-298-3548
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Fax | 225-295-9678
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIAM BORNE
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Credential |
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Telephone | 225-292-2031
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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 | EXEMPT
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License Number State |
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