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General NPI Number Information
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NPI Number | 1184296279
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Entity Type | Organization
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Legal Business Name | ADORATION HOME HEALTH CARE VIRGINIA LLC
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 2224 S CROATAN HWY UNIT B
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City | NAGS HEAD
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State | NC
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Zip | 27959-8813
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Country | US
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Telephone | 252-263-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 805 N WHITTINGTON PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40222-7101
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Country | US
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Telephone | 502-630-7425
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MARGARET S PEMBERTON
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Credential |
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Telephone | 502-394-2321
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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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