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General NPI Number Information
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NPI Number | 1215472337
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Entity Type | Organization
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Legal Business Name | R & D SERVICES OF VA., INC
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Dates
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Enumeration Date | 12/28/2016
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 815 WASENA AVE SW B
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City | ROANOKE
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State | VA
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Zip | 24015-5305
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Country | US
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Telephone | 540-315-4334
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Fax | 540-266-1989
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Provider Business Mailing Address
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Address Line | 815 B WASENA AVE.
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City | ROANOKE
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State | VA
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Zip | 24015
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Country | US
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Telephone | 540-315-4334
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Fax | 540-266-1989
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT DAVID BITTLE II
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Credential |
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Telephone | 540-315-5126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 2705148825
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License Number State | VA
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