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General NPI Number Information
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NPI Number | 1235681099
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Entity Type | Organization
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Legal Business Name | PURCELL HOLDINGS, L.L.C.
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 1800 DIAGONAL RD SUITE 600
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2840
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Country | US
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Telephone | 240-205-7188
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Fax | 240-414-1253
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Provider Business Mailing Address
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Address Line | 6710 OXON HILL RD SUITE 210
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City | OXON HILL
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State | MD
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Zip | 20745-1117
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Country | US
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Telephone | 240-205-7188
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Fax | 240-414-1253
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Authorized Official
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Title or Position | BOARD CHAIRMAN
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Name | JOHN PURCELL JR.
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Credential |
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Telephone | 240-205-7188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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