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General NPI Number Information
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NPI Number | 1306657143
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Entity Type | Organization
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Legal Business Name | SWEET VIRGINIA CARE DC LLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 5247 WISCONSIN AVE NW STE 3B
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City | WASHINGTON
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State | DC
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Zip | 20015-2012
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Country | US
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Telephone | 703-496-4616
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Fax | 703-496-4615
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Provider Business Mailing Address
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Address Line | 21035 SYCOLIN RD STE 55
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City | ASHBURN
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State | VA
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Zip | 20147-4311
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Country | US
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Telephone | 703-496-4616
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Fax | 703-496-4615
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Authorized Official
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Title or Position | DIRECTOR
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Name | JUSTIN CONRAD
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Credential |
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Telephone | 703-496-4616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 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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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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