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General NPI Number Information
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NPI Number | 1346407699
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Entity Type | Organization
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Legal Business Name | LONDON FAMILY SERVICES
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 12388 WARWICK BLVD STE 306C
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3820
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Country | US
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Telephone | 757-926-4641
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Fax | 757-926-4648
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Provider Business Mailing Address
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Address Line | 12388 WARWICK BLVD STE 306C
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3820
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Country | US
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Telephone | 757-926-4641
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Fax | 757-926-4648
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Authorized Official
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Title or Position | OWNER / ADMINISTRATOR
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Name | MS. SHAWNTE LATARSHA LONDON
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Credential |
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Telephone | 757-831-7552
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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 | HCO-13501
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License Number State | VA
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