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General NPI Number Information
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NPI Number | 1164726311
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Entity Type | Organization
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Legal Business Name | HELPING HANDS HOMECARE SERVICES OF NORTHERN VIRGINIA
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 14142 MINNIEVILLE RD STE 207
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City | WOODBRIDGE
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State | VA
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Zip | 22193-2344
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Country | US
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Telephone | 877-489-1538
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Fax | 877-637-4630
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Provider Business Mailing Address
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Address Line | 14142 MINNIEVILLE RD STE 207
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City | WOODBRIDGE
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State | VA
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Zip | 22193-2344
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Country | US
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Telephone | 877-489-1538
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Fax | 877-637-4630
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Authorized Official
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Title or Position | PRESIDENT & ADMINISTRATOR
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Name | MRS. JACQUELINE PATRICIA JOHNSON BRYANT
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Credential | RN,
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Telephone | 877-489-1538
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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 | HCO11707
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License Number State | VA
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