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General NPI Number Information
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NPI Number | 1356941231
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Entity Type | Organization
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Legal Business Name | ABBAI HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 6395 LITTLE RIVER TPKE
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City | ALEXANDRIA
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State | VA
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Zip | 22312-5003
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Country | US
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Telephone | 703-345-5834
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Fax | 703-594-8532
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Provider Business Mailing Address
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Address Line | 6024 STODDARD CT APT 202
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5612
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Country | US
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Telephone | 703-786-0891
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Fax | 703-594-8532
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Authorized Official
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Title or Position | CEO
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Name | SINTAYEHU ABEBE
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Credential | BSC
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Telephone | 703-786-0891
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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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