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General NPI Number Information
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NPI Number | 1265752489
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Entity Type | Organization
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Legal Business Name | ALPHA HOME HEALTH SERVICES, LLC.
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 10560 MAIN ST SUITE 302
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City | FAIRFAX
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State | VA
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Zip | 22030-7182
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Country | US
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Telephone | 703-268-5610
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Fax |
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Provider Business Mailing Address
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Address Line | 10560 MAIN STREET SUITE 302
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City | FAIRFAX
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State | VA
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Zip | 22030
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Country | US
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Telephone | 703-268-5610
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DANIELLA CONSTANCE ANYE
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Credential | BSN
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Telephone | 703-953-7426
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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-10658
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License Number State | VA
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