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General NPI Number Information
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NPI Number | 1336559608
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Entity Type | Organization
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Legal Business Name | F.C. OF VIRGINIA, INC.
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 4005 ELECTRIC RD STE 200
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City | ROANOKE
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State | VA
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Zip | 24018-8435
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Country | US
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Telephone | 540-563-1018
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Fax | 540-563-1047
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Provider Business Mailing Address
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Address Line | 14841 DALLAS PKWY STE 625
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City | DALLAS
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State | TX
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Zip | 75254-7641
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Country | US
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Telephone | 214-445-3750
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Fax | 214-445-3900
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Authorized Official
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Title or Position | CCO
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Name | ROBERT PARKER
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Credential |
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Telephone | 214-445-3750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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