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General NPI Number Information
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NPI Number | 1265070858
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Entity Type | Organization
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Legal Business Name | STREAKS ANGELS OF LOVE WITH HELPING HANDS LLC
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Dates
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Enumeration Date | 12/15/2019
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Last Update Date | 12/15/2019
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Provider Practice Location Address
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Address Line | 6087 MOORETOWN RD
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-1748
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Country | US
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Telephone | 757-254-8197
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Fax |
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Provider Business Mailing Address
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Address Line | 4542 CEDAR POINT LN
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-6908
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Country | US
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Telephone | 757-291-1917
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CONNIE A SAFEWRIGHT
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Credential | CNA
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Telephone | 757-291-1917
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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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