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General NPI Number Information
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NPI Number | 1407249808
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Entity Type | Organization
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Legal Business Name | GAINESVILLE HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 7043 LITTLE THAMES DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-4010
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Country | US
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Telephone | 703-753-6259
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Fax | 703-988-2598
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Provider Business Mailing Address
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Address Line | 7043 LITTLE THAMES DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-4010
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Country | US
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Telephone | 703-753-6259
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Fax | 703-988-2598
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Authorized Official
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Title or Position | OWNER
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Name | SADIA SHEIKHDON
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Credential |
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Telephone | 703-753-6259
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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 | HCO-151132
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License Number State | VA
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