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General NPI Number Information
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NPI Number | 1194477992
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Entity Type | Organization
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Legal Business Name | ADELLIET HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 01/23/2022
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Last Update Date | 01/23/2022
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Provider Practice Location Address
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Address Line | 4243 WHITE CAP CRST
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City | CHESAPEAKE
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State | VA
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Zip | 23321-3256
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Country | US
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Telephone | 757-905-7314
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Fax |
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Provider Business Mailing Address
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Address Line | 4243 WHITE CAP CRST
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City | CHESAPEAKE
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State | VA
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Zip | 23321-3256
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Country | US
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Telephone | 757-905-7314
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Fax |
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Authorized Official
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Title or Position | ALTERNATE
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Name | MRS. WILLIET NGWEBENG MUBAH
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Credential |
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Telephone | 757-768-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number |
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License Number State |
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