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General NPI Number Information
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NPI Number | 1275163180
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Entity Type | Organization
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Legal Business Name | SMARTT CARE WITH LOVE HOME CARE AGENCY
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Dates
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Enumeration Date | 01/20/2020
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Last Update Date | 02/29/2020
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Provider Practice Location Address
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Address Line | 85 S BRAGG ST STE 200A
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2793
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Country | US
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Telephone | 703-537-1062
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Fax |
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Provider Business Mailing Address
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Address Line | 7714 ARLEN ST
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City | ANNANDALE
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State | VA
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Zip | 22003-5404
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Country | US
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Telephone | 703-459-5880
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MEKDES TILAHUN
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Credential |
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Telephone | 703-459-5880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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