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General NPI Number Information
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NPI Number | 1255709929
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL FLAIR, LLC
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 1327 GRANDIN RD SW
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City | ROANOKE
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State | VA
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Zip | 24015-2349
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Country | US
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Telephone | 540-339-7541
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21174
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City | ROANOKE
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State | VA
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Zip | 24018-0119
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Country | US
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Telephone | 540-339-7541
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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. LEKEI MICHELLE PATEL
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Credential | B. A., QMHP, QMRP
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Telephone | 540-204-6781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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