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General NPI Number Information
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NPI Number | 1336141779
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Entity Type | Organization
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Legal Business Name | MOUNTAIN REGION PERSONAL CARE SERVICES INC.
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 463 DUFF-PATT HWY
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City | DUFFIELD
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State | VA
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Zip | 24244
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Country | US
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Telephone | 276-431-1440
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Fax | 276-431-1442
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Provider Business Mailing Address
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Address Line | PO BOX 246
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City | DUFFIELD
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State | VA
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Zip | 24244
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Country | US
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Telephone | 276-431-1440
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Fax | 276-431-1442
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. JUDY A. HILL
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Credential |
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Telephone | 276-431-1440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 009105271
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4552980001
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 008773106
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License Number State | VA
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Taxonomy #4
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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 | VA
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Taxonomy #5
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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 | VA
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Taxonomy #6
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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 | VA
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Taxonomy #7
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Taxonomy Code | 163WC2100X
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Taxonomy Name | Continence Care Registered Nurse
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License Number |
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 497592
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License Number State | VA
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