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General NPI Number Information
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NPI Number | 1255101465
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Entity Type | Organization
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Legal Business Name | SYS HOME HEALTHCARE
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 713 FENWAY AVE STE 3
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City | CHESAPEAKE
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State | VA
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Zip | 23323-3333
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Country | US
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Telephone | 910-813-0172
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Fax |
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Provider Business Mailing Address
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Address Line | 4613 OLD FOX TRL
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City | CHESAPEAKE
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State | VA
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Zip | 23321-6170
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Country | US
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Telephone | 910-813-0172
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. SHARIKA YVONNE PERKINS
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Credential |
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Telephone | 910-813-0172
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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 |
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License Number State |
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