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General NPI Number Information
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NPI Number | 1265331417
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Entity Type | Organization
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Legal Business Name | NWA HOME HEALTHCARE
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 1120 TONI LN
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City | FOREST
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State | VA
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Zip | 24551-5149
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Country | US
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Telephone | 540-816-9139
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Fax | 434-818-0910
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Provider Business Mailing Address
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Address Line | 1120 TONI LN
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City | FOREST
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State | VA
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Zip | 24551-5149
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Country | US
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Telephone | 540-816-9139
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Fax | 434-818-0910
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA GAIL ANDERSON
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Credential | NWA
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Telephone | 540-816-9139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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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 | 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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Taxonomy #5
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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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