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General NPI Number Information
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NPI Number | 1164758165
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Entity Type | Organization
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Legal Business Name | IN HOME SOLUTIONS LLC
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 208 S BELMONT AVE
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City | RICHMOND
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State | VA
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Zip | 23221-3512
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Country | US
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Telephone | 804-402-6514
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Fax |
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Provider Business Mailing Address
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Address Line | 208 S BELMONT AVE
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City | RICHMOND
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State | VA
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Zip | 23221-3512
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Country | US
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Telephone | 804-402-6514
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | WILLIAM WAX
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Credential |
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Telephone | 804-402-6514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024164804
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License Number State | VA
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