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General NPI Number Information
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NPI Number | 1235404518
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Entity Type | Organization
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Legal Business Name | ATLANTIC HOMECARE SERVICES
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 575 LYNNHAVEN PKWY STE 170
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7350
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Country | US
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Telephone | 757-227-9079
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Fax | 757-227-9521
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Provider Business Mailing Address
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Address Line | 575 LYNNHAVEN PKWY STE 170
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7350
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Country | US
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Telephone | 757-227-9079
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Fax | 757-227-9521
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ERICKA R. FOSTER
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Credential |
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Telephone | 757-227-9079
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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-12816
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License Number State | VA
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