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General NPI Number Information
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NPI Number | 1205459997
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Entity Type | Organization
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Legal Business Name | ARYA HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 3975 FAIR RIDGE DRIVE SUITE 250N-S
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City | FAIRFAX
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State | VA
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Zip | 22033-2911
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Country | US
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Telephone | 703-953-7202
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Fax | 703-543-2254
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Provider Business Mailing Address
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Address Line | 6030A MACHEN RD
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City | CENTREVILLE
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State | VA
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Zip | 20121-2217
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Country | US
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Telephone | 703-953-7202
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MOJGAN POURAKBAR
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Credential |
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Telephone | 703-953-7202
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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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