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General NPI Number Information
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NPI Number | 1194099184
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Entity Type | Organization
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Legal Business Name | CAREMED, INC
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | 7300 HULL STREET RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5806
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Country | US
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Telephone | 804-674-7130
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Fax | 804-674-7137
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Provider Business Mailing Address
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Address Line | 7300 HULL STREET RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5806
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Country | US
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Telephone | 804-674-7130
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Fax | 804-674-7137
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. SEAN LEROY ARCHER
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Credential |
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Telephone | 804-674-7130
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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 | HCO-12399
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-12398
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License Number State | VA
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