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General NPI Number Information
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NPI Number | 1255703443
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Entity Type | Organization
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Legal Business Name | SENCARA HOME HEALTH CARE
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 109 CLAY STREET
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City | SUFFOLK
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State | VA
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Zip | 25434
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Country | US
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Telephone | 757-539-7971
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Fax | 757-539-7671
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Provider Business Mailing Address
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Address Line | 109 CLAY ST
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City | SUFFOLK
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State | VA
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Zip | 25434
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Country | US
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Telephone | 757-539-7971
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Fax | 757-539-7671
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LAVERNE ROBINSON WEAVER
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Credential | ADMINISTRATOR/SOLE P
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Telephone | 757-539-7971
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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 | HCO-161332
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License Number State | VA
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