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General NPI Number Information
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NPI Number | 1255678504
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HOMECARE SERVICES, INC
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 8605 ENGLESIDE OFFICE PARK SUITE B
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City | ALEXANDRIA
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State | VA
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Zip | 22309-4130
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Country | US
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Telephone | 703-347-6755
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Fax | 703-347-6086
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Provider Business Mailing Address
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Address Line | 8605 ENGLESIDE OFFICE PARK SUITE B
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City | ALEXANDRIA
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State | VA
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Zip | 22309-4130
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Country | US
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Telephone | 703-347-6755
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Fax | 703-347-6086
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CLAUDIA BOATENG
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Credential |
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Telephone | 703-347-6755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | HCO-13915
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License Number State | VA
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