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General NPI Number Information
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NPI Number | 1386510055
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Entity Type | Organization
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Legal Business Name | SENIORAIDE LLC
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 5301 SHAWNEE RD STE 300
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2335
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Country | US
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Telephone | 571-326-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 SHAWNEE RD STE 300
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2335
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Country | US
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Telephone | 571-326-8810
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | RODABA AHMADI MEHERZAD
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Credential |
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Telephone | 571-326-8810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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