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NPI 1427790732

NPI 1427790732 : NEW DAY SUPPORT SERVICES LLC : CHESTERFIELD, VA

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General NPI Number Information
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    NPI Number           |    1427790732
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW DAY SUPPORT SERVICES LLC 
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Dates
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    Enumeration Date     |    04/08/2022
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    Last Update Date     |    04/08/2022
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Provider Practice Location Address
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    Address Line         |    9512 IRON BRIDGE RD STE 202 
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    City                 |    CHESTERFIELD
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    State                |    VA
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    Zip                  |    23832-6458
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    Country              |    US
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    Telephone            |    804-339-5549
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    Fax                  |    804-454-0703
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Provider Business Mailing Address
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    Address Line         |    9512 IRON BRIDGE RD STE 202 
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    City                 |    CHESTERFIELD
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    State                |    VA
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    Zip                  |    23832-6458
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    Country              |    US
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    Telephone            |    804-339-5549
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    Fax                  |    804-454-0703
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. JOHN THOMAS EDWARDS 
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    Credential           |    
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    Telephone            |    804-339-5549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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