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General NPI Number Information
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NPI Number | 1477378503
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Entity Type | Organization
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Legal Business Name | HAZEL HOME CARES LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 14539 HAZEL RIVER CHURCH RD
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City | CULPEPER
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State | VA
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Zip | 22701-7033
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Country | US
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Telephone | 540-219-9153
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Fax |
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Provider Business Mailing Address
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Address Line | 14539 HAZEL RIVER CHURCH RD
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City | CULPEPER
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State | VA
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Zip | 22701-7033
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Country | US
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Telephone | 540-422-5489
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Fax |
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | ERNESTO ALEJANDRO JOYA
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Credential | MR
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Telephone | 540-422-5489
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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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