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General NPI Number Information
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NPI Number | 1356795348
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Entity Type | Organization
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Legal Business Name | AT EASE HOME CARE
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Dates
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Enumeration Date | 04/16/2016
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 4968 EUCLID RD SUITE A-2
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462
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Country | US
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Telephone | 757-963-0100
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Fax | 757-963-0681
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Provider Business Mailing Address
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Address Line | 4968 EUCLID RD SUITE A2
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5833
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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 | CEO
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Name | MARYVONA CUFFEE
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Credential |
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Telephone | 757-963-0100
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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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