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General NPI Number Information
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NPI Number | 1174765408
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Entity Type | Organization
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Legal Business Name | FIRST QUALITY NURSING LLC
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 105 LANDMARK DRIVE
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City | STUART
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State | VA
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Zip | 24171
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Country | US
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Telephone | 276-694-7161
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Fax | 276-694-2240
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Provider Business Mailing Address
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Address Line | 105 LANDMARK DRIVE
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City | STUART
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State | VA
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Zip | 24171
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Country | US
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Telephone | 276-694-7161
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Fax | 276-694-2240
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DORN VICTOR WILLIAMS JR.
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Credential |
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Telephone | 276-694-7161
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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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