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General NPI Number Information
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NPI Number | 1164844478
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Entity Type | Organization
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Legal Business Name | A PLUS TLC HOME HEALTH INC
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 8989 COTSWOLD DR SUITE #2
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City | BURKE
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State | VA
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Zip | 22015-1655
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Country | US
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Telephone | 703-425-1644
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Fax | 703-425-1844
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Provider Business Mailing Address
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Address Line | 6484 OHARA CT. DR.
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City | SPRINGFIELD
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State | VA
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Zip | 22152
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Country | US
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Telephone | 407-920-8685
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MR. CHRISTIAN BAUTISTA ALFONZO
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Credential |
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Telephone | 703-425-1644
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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 |
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License Number State |
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