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General NPI Number Information
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NPI Number | 1215482500
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Entity Type | Organization
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Legal Business Name | ROYAL HEARTS HOMECARE LLC
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 3500 VA BEACH BLVD SUITE 401
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City | VA BEACH
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State | VA
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Zip | 23452-4445
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Country | US
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Telephone | 757-486-2820
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 VA BEACH BLVD SUITE 401
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City | VA BEACH
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State | VA
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Zip | 23452-4445
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Country | US
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Telephone | 757-486-2820
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA G FITCHETT
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Credential |
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Telephone | 757-486-2820
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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 | HCO-171489
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License Number State | VA
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