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General NPI Number Information
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NPI Number | 1477159457
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Entity Type | Organization
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Legal Business Name | ARLINGTON ELDERCARE, LLC
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 227 N EVERGREEN ST
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City | ARLINGTON
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State | VA
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Zip | 22203-1225
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Country | US
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Telephone | 703-622-2884
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Fax | 703-940-1346
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Provider Business Mailing Address
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Address Line | 4201 WILSON BLVD # 110-139
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City | ARLINGTON
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State | VA
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Zip | 22203-4417
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Country | US
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Telephone | 703-622-2284
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Fax | 703-940-1346
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DIANE J HENDEL
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Credential | NP-C
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Telephone | 703-698-2431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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