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General NPI Number Information
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NPI Number | 1417476995
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Entity Type | Organization
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Legal Business Name | SOCIAL CARE
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | SOCIAL CARE LLC 1442 MONARCH REACH
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City | CHESAPEAKE
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State | VA
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Zip | 23320
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Country | US
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Telephone | 757-389-7909
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Fax | 757-436-0917
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Provider Business Mailing Address
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Address Line | PO BOX 1386
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City | CHESAPEAKE
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State | VA
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Zip | 23327-1386
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Country | US
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Telephone | 757-389-7909
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Fax | 757-436-0917
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALTON GRANT JONES
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Credential | BSW
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Telephone | 757-389-7909
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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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