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General NPI Number Information
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NPI Number | 1265192850
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Entity Type | Organization
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Legal Business Name | ALL SUPPORT OPTIONS LLC
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 3300 TYRE NECK RD STE D
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City | PORTSMOUTH
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State | VA
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Zip | 23703-3319
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Country | US
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Telephone | 757-792-7284
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Fax |
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Provider Business Mailing Address
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Address Line | 5920 STURBRIDGE WAY
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City | PORTSMOUTH
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State | VA
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Zip | 23703-5522
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Country | US
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Telephone | 757-537-6249
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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. DEBRA LATOYA SEGURA
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Credential |
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Telephone | 757-792-7284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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