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General NPI Number Information
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NPI Number | 1407287030
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Entity Type | Organization
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Legal Business Name | ALLIED PRO HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 12/08/2013
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Last Update Date | 12/08/2013
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Provider Practice Location Address
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Address Line | 5105B BACKLICK RD
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City | ANNANDALE
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State | VA
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Zip | 22003-6005
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Country | US
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Telephone | 703-851-6053
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Fax | 703-439-2643
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Provider Business Mailing Address
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Address Line | 5105B BACKLICK RD
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City | ANNANDALE
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State | VA
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Zip | 22003-6005
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Country | US
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Telephone | 703-851-6053
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Fax | 703-439-2643
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. SAIRA LOBO
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Credential | RN
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Telephone | 703-851-6053
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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 | HC0-1119
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License Number State | VA
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