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General NPI Number Information
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NPI Number | 1215413661
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Entity Type | Organization
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Legal Business Name | 1ST ACCESS HOME CARE INCORPORATED
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 6600 FIELDTAN TRL
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City | MOSELEY
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State | VA
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Zip | 23120-1630
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Country | US
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Telephone | 571-501-1993
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 SOMMERSWORTH LN APT 1822
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City | HENRICO
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State | VA
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Zip | 23233-1156
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Country | US
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Telephone | 571-501-1993
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLARISSA AYENSU
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Credential |
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Telephone | 571-501-1993
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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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