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General NPI Number Information
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NPI Number | 1174192769
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Entity Type | Organization
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Legal Business Name | SALAADHHC
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 226 CEDAR LN SE APT 84
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City | VIENNA
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State | VA
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Zip | 22180-6626
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Country | US
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Telephone | 571-279-8861
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Fax |
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Provider Business Mailing Address
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Address Line | 226 CEDAR LN SE APT 84
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City | VIENNA
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State | VA
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Zip | 22180-6626
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Country | US
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Telephone | 571-525-8358
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIYA YOUSUF
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Credential |
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Telephone | 703-868-8920
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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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