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General NPI Number Information
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NPI Number | 1487173373
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Entity Type | Organization
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Legal Business Name | AMICAL HOME HEALTH CARE INC
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 701 W BROAD ST STE 213
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3220
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Country | US
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Telephone | 703-200-3342
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Fax |
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Provider Business Mailing Address
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Address Line | 701 W BROAD STREET, SUITE 213
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City | FALLS CHURCH
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State | VA
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Zip | 22046
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Country | US
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Telephone | 703-200-3342
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KINZ RANGONI
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Credential |
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Telephone | 703-200-3342
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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 | 5902
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License Number State | VA
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