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General NPI Number Information
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NPI Number | 1346985025
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Entity Type | Organization
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Legal Business Name | ESSENTIALS HOME CARE
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 1361 W DANVILLE ST
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City | SOUTH HILL
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State | VA
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Zip | 23970-3901
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Country | US
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Telephone | 347-432-2171
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 NASH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20019-1955
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KELLEY CARR
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Credential |
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Telephone | 919-943-6229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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