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General NPI Number Information
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NPI Number | 1396455168
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Entity Type | Organization
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Legal Business Name | AMANA HOME HEALTH LLC
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 1073 W BROAD ST
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4600
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Country | US
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Telephone | 614-271-0776
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Fax |
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Provider Business Mailing Address
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Address Line | 7473 COLLINS MEADE WAY
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5254
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Country | US
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Telephone | 614-271-0776
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Fax |
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | UBAH FARAH
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Credential |
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Telephone | 614-271-0776
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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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Taxonomy #2
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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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