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General NPI Number Information
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NPI Number | 1265988596
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Entity Type | Organization
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Legal Business Name | OPEN HEARTS HOME HEALTH CARE
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 487 AIRPORT COURT
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City | RICHMOND
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State | VA
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Zip | 23075-2155
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Country | US
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Telephone | 804-503-9790
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Fax |
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Provider Business Mailing Address
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Address Line | 487 AIRPORT COURT
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City | RICHMOND
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State | VA
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Zip | 23075-2155
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Country | US
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Telephone | 804-503-9790
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAYLOR MITCHELL
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Credential |
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Telephone | 804-503-9790
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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-161407
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License Number State | VA
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