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General NPI Number Information
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NPI Number | 1285376764
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Entity Type | Organization
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Legal Business Name | CHERRY BLOSSOM HOME CARE LLC
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 101 E HOLLY AVE STE 15
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City | STERLING
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State | VA
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Zip | 20164-5402
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Country | US
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Telephone | 571-577-0063
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Fax |
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Provider Business Mailing Address
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Address Line | 205 VAN BUREN ST
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City | HERNDON
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State | VA
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Zip | 20170-5348
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Country | US
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Telephone | 571-241-0048
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SANDRA ELIZABETH ESCALANTE
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Credential |
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Telephone | 571-241-0048
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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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