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General NPI Number Information
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NPI Number | 1205645637
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Entity Type | Organization
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Legal Business Name | PINSRI CARE
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 111 ELM TREE CT
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City | SUFFOLK
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State | VA
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Zip | 23435-2278
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Country | US
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Telephone | 804-412-9078
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Fax |
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Provider Business Mailing Address
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Address Line | 100 7TH ST STE 104
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City | PORTSMOUTH
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State | VA
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Zip | 23704-4800
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Country | US
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Telephone | 804-413-9078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEWARIN PINSRI NEAL
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Credential |
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Telephone | 757-612-1052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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