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General NPI Number Information
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NPI Number | 1316757594
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Entity Type | Organization
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Legal Business Name | LAZER FOCUZ CARE LLC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 6259 TENOR CT
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City | WOODBRIDGE
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State | VA
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Zip | 22193-6115
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Country | US
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Telephone | 571-343-0513
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Fax | 571-260-5605
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Provider Business Mailing Address
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Address Line | 6259 TENOR CT
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City | WOODBRIDGE
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State | VA
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Zip | 22193-6115
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Country | US
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Telephone | 571-343-0513
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Fax | 571-260-5605
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Authorized Official
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Title or Position | NURSE
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Name | MONIQUE BAKER
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Credential | RN
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Telephone | 571-343-0513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WD1100X
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Taxonomy Name | Peritoneal Dialysis Registered Nurse
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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 | 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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Taxonomy #3
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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 #4
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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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 | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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