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General NPI Number Information
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NPI Number | 1346510286
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Entity Type | Organization
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Legal Business Name | NORTHERN VIRGINA HOME CARE LLC
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 601 S CARLIN SPRINGS RD
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City | ARLINGTON
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State | VA
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Zip | 22204-1044
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Country | US
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Telephone | 703-717-7928
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S CARLIN SPRINGS RD
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City | ARLINGTON
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State | VA
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Zip | 22204-1044
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Country | US
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Telephone | 703-717-7928
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | DEBRA N MILLER
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Credential | CPA
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Telephone | 757-553-3109
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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 12804
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License Number State | VA
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