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General NPI Number Information
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NPI Number | 1174916399
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Entity Type | Organization
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Legal Business Name | ALTIMATE HOME HEALTH CARE SERVICES INC.
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 2121 EISENHOWER AVE SUITE 200
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4698
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Country | US
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Telephone | 703-519-6817
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Fax | 703-684-3620
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Provider Business Mailing Address
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Address Line | 5600 16TH AVE APT 202
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City | HYATTSVILLE
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State | MD
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Zip | 20782-3534
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Country | US
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Telephone | 202-730-6161
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK CHUKWU
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Credential |
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Telephone | 703-519-6817
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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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