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General NPI Number Information
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NPI Number | 1235175795
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Entity Type | Organization
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Legal Business Name | HOME CARE ALLIANCE OF VIRGINIA INC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 5037 HALIFAX RD SUITE A
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City | HALIFAX
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State | VA
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Zip | 24558
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Country | US
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Telephone | 434-572-6779
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Fax | 434-572-9591
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Provider Business Mailing Address
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Address Line | 5037 HALIFAX RD PO BOX 888
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City | HALIFAX
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State | VA
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Zip | 24558
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Country | US
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Telephone | 434-572-6779
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Fax | 434-572-9591
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. WAYNE E STANFIELD
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Credential |
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Telephone | 434-572-6779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0206009035
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License Number State | VA
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