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General NPI Number Information
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NPI Number | 1225857865
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Entity Type | Organization
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Legal Business Name | PAL HOME CARE LLC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1727 KING ST OFC 19
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2700
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Country | US
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Telephone | 703-436-8269
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Fax | 703-337-0508
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Provider Business Mailing Address
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Address Line | 1727 KING ST OFC 19
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2700
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Country | US
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Telephone | 703-436-8269
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Fax | 703-337-0508
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | MISS PATIENCE LEPOSO
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Credential |
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Telephone | 202-607-3713
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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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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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