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General NPI Number Information
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NPI Number | 1346551629
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Entity Type | Organization
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Legal Business Name | VIRGINIA HOME HEALTH, LLC
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 12/26/2013
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Provider Practice Location Address
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Address Line | 7323 WINTERLEAF CT
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City | RICHMOND
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State | VA
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Zip | 23234-2821
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Country | US
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Telephone | 804-864-8088
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Fax |
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Provider Business Mailing Address
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Address Line | 7323 WINTERLEAF CT
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City | RICHMOND
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State | VA
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Zip | 23234-2821
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Country | US
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Telephone | 804-864-8088
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DYWAYNE LAMONT WHITE
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Credential | RN
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Telephone | 804-864-0021
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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 | VA
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