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General NPI Number Information
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NPI Number | 1225425721
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Entity Type | Organization
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Legal Business Name | BDC HOME HEALTH CONSULTING
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 6306 WALNUT BEND TER
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-2391
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Country | US
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Telephone | 804-912-4750
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Fax |
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Provider Business Mailing Address
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Address Line | 6306 WALNUT BEND TER
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-2391
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Country | US
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Telephone | 804-912-4750
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM F CALAUTTI
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Credential | P.T.
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Telephone | 804-912-4750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 2305003546
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License Number State | VA
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