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General NPI Number Information
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NPI Number | 1407145691
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Entity Type | Organization
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Legal Business Name | ALLIED HOME CARE, LLC
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 4900 LEESBURG PIKE #214
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1103
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Country | US
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Telephone | 703-752-1751
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Fax | 703-842-6024
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Provider Business Mailing Address
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Address Line | 4900 LEESBURG PIKE #214
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1103
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Country | US
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Telephone | 703-752-1751
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Fax | 703-842-6024
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AYAN ALI
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Credential | R.N,
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Telephone | 703-752-1751
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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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