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General NPI Number Information
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NPI Number | 1215234786
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Entity Type | Organization
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Legal Business Name | IMMANUAL CARE
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Dates
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Enumeration Date | 02/18/2011
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 870 GREENBRIER CIRCLE SUITE 210
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2641
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Country | US
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Telephone | 757-547-8400
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Fax | 757-548-7766
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Provider Business Mailing Address
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Address Line | 870 GREENBRIER CIRCLE SUITE 210
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2641
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Country | US
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Telephone | 757-547-8400
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Fax | 757-548-7766
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. JUDITH TURNER
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Credential | RN, BSN, MHA
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Telephone | 757-547-8400
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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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