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General NPI Number Information
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NPI Number | 1184266694
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Entity Type | Organization
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Legal Business Name | CARE GIVER LLC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 9518 MOONEN BAY LN
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City | BRISTOW
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State | VA
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Zip | 20136-3514
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Country | US
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Telephone | 310-877-0654
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Fax |
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Provider Business Mailing Address
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Address Line | 4617 HULL DR
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City | HAYMARKET
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State | VA
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Zip | 20169-8181
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Country | US
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Telephone | 571-606-7588
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA GAIL LERESCHE
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Credential |
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Telephone | 571-606-7588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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