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General NPI Number Information
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NPI Number | 1235448135
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Entity Type | Organization
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Legal Business Name | BREATHE EASY IN HOME HEALTH CARE COMPANY
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 1433 BIRCHWOOD DR
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City | CROZET
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State | VA
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Zip | 22932-9464
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Country | US
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Telephone | 434-981-3812
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Fax |
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Provider Business Mailing Address
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Address Line | 1433 BIRCHWOOD DR
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City | CROZET
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State | VA
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Zip | 22932-9464
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Country | US
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Telephone | 434-981-3812
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Fax |
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Authorized Official
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Title or Position | CEO, NURSE SUPERVISOR
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Name | MRS. DEBORAH BENNETT JONES
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Credential | REGISTERED NURSE
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Telephone | 434-981-3812
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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 | 0001074141
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License Number State | VA
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