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General NPI Number Information
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NPI Number | 1245758440
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Entity Type | Organization
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Legal Business Name | DESTINY PLUS HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 7777 LEESBURG PIKE # 409N
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2411
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Country | US
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Telephone | 571-378-1180
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Fax | 571-378-0799
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Provider Business Mailing Address
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Address Line | 7777 LEESBURG PIKE # 409N
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2411
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Country | US
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Telephone | 571-378-1180
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Fax | 571-378-0799
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DANIEL MELLI
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Credential | MS
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Telephone | 301-377-8129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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