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General NPI Number Information
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NPI Number | 1396899829
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Entity Type | Organization
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Legal Business Name | HCC PERSONAL CARE INC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 1519 HUGUENOT RD STE 104
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City | MIDLOTHIAN
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State | VA
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Zip | 23113
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Country | US
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Telephone | 804-378-7780
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Fax | 804-378-2677
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Provider Business Mailing Address
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Address Line | 1519 HUGUENOT RD STE 104
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City | MIDLOTHIAN
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State | VA
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Zip | 23113
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Country | US
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Telephone | 804-378-7780
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Fax | 804-378-2677
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Authorized Official
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Title or Position | OWNER
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Name | MR. W JACKSON NELMS IV
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Credential |
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Telephone | 804-378-7780
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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 | 008702659
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License Number State | VA
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