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General NPI Number Information
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NPI Number | 1295462133
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Entity Type | Organization
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Legal Business Name | VIRGINIA SENIOR CARE LLC
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 3975 FAIR RIDGE DR # T25S-G
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City | FAIRFAX
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State | VA
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Zip | 22033-2911
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Country | US
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Telephone | 571-400-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 3975 FAIR RIDGE DR # T25S-G
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City | FAIRFAX
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State | VA
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Zip | 22033-2911
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Country | US
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Telephone | 571-400-8511
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Fax |
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Authorized Official
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Title or Position | GOVERNING BODY MEMBER / CO-FOUNDER
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Name | NIMA EDALATIANZAKERI
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Credential |
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Telephone | 703-231-4331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 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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Taxonomy #5
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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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