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General NPI Number Information
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NPI Number | 1477857100
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Entity Type | Organization
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Legal Business Name | SERENITY HOME HEALTHCARE-STERLING
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 100 EXECUTIVE DR SUITE A2
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City | STERLING
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State | VA
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Zip | 20166-9507
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Country | US
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Telephone | 703-763-0484
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Fax | 571-313-1377
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Provider Business Mailing Address
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Address Line | 100 EXECUTIVE DR UNIT A2
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City | STERLING
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State | VA
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Zip | 20166-9507
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Country | US
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Telephone | 703-763-0484
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Fax | 571-313-1377
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Authorized Official
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Title or Position | OWNER
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Name | MS. HILDIGARD N OFORI
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Credential |
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Telephone | 70367630484
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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 | HCO-12715
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License Number State | VA
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