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General NPI Number Information
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NPI Number | 1437699949
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Entity Type | Organization
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Legal Business Name | ULTIMATE CARE LLC
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 9628 SLOWAY COAST DR
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City | LORTON
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State | VA
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Zip | 22079-2787
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Country | US
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Telephone | 703-581-9075
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Fax | 703-646-5322
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Provider Business Mailing Address
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Address Line | 9628 SLOWAY COAST DR
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City | LORTON
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State | VA
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Zip | 22079-2787
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Country | US
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Telephone | 703-581-9075
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Fax | 703-646-5322
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. AYESHIA QUAINOO
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Credential | RN
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Telephone | 703-581-9075
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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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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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