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General NPI Number Information
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NPI Number | 1346960747
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Entity Type | Organization
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Legal Business Name | SWEET VIRGINIA HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 15250 COLONY PL APT 108
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4955
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Country | US
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Telephone | 540-577-9444
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Fax |
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Provider Business Mailing Address
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Address Line | 15250 COLONY PL APT 108
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4955
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Country | US
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Telephone | 540-577-9444
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIKOS COX
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Credential |
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Telephone | 540-577-9444
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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