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General NPI Number Information
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NPI Number | 1215201363
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Entity Type | Organization
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Legal Business Name | HELPINGHANDSHOMECARE SERVICES OF NORTHERN VIRGINIA
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 14142 MINNIEVILLE RD.
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City | WOODBRIDGE
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State | VA
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Zip | 22193-2344
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Country | US
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Telephone | 877-489-1538
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Fax | 877-637-4630
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Provider Business Mailing Address
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Address Line | 14142 MINNIEVILLE RD.
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City | WOODBRIDGE
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State | VA
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Zip | 22193-2344
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Country | US
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Telephone | 877-489-1538
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Fax | 877-637-4630
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JACQUELINE PATRICIA BRYANT
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Credential | RN
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Telephone | 877-489-1538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | HCO12707
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | HCO12707
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HCO12707
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HCO12707
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License Number State | VA
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