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General NPI Number Information
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NPI Number | 1396413530
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Entity Type | Organization
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Legal Business Name | PERSONALIZED HOME HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 142 WESTWOOD DR
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City | DANVILLE
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State | VA
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Zip | 24541-5223
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Country | US
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Telephone | 434-770-9531
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Fax |
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Provider Business Mailing Address
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Address Line | 142 WESTWOOD DR
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City | DANVILLE
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State | VA
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Zip | 24541-5223
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Country | US
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Telephone | 434-770-9531
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Fax |
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Authorized Official
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Title or Position | OWNER OPERATOR/MSN, APRN, FNP-BC
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Name | MS. TANGELA STEPHANIE HAIRSTON
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Credential | MSN, APRN, FNP-BC
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Telephone | 434-770-9531
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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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