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General NPI Number Information
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NPI Number | 1427216704
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Entity Type | Organization
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Legal Business Name | VIRGINIA HOMECARE, LLC
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 4419 PHEASANT RIDGE RD STE 103
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City | ROANOKE
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State | VA
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Zip | 24014-5267
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Country | US
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Telephone | 540-278-2890
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Fax | 540-278-2891
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Provider Business Mailing Address
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Address Line | PO BOX 51266
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City | LAFAYETTE
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State | LA
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Zip | 70505-1266
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Country | US
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Telephone | 337-233-1307
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Fax | 337-233-5764
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. NICHOLAS GACHASSIN III
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Credential |
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Telephone | 337-233-1307
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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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