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General NPI Number Information
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NPI Number | 1518304682
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Entity Type | Organization
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Legal Business Name | ADULT HEALTHCARE SOLUTIONS, INC
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 402 S SYCAMORE ST SUITE A
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City | PETERSBURG
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State | VA
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Zip | 23803-5043
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Country | US
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Telephone | 804-861-9472
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Fax | 804-733-8884
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Provider Business Mailing Address
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Address Line | 402 S SYCAMORE ST SUITE A
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City | PETERSBURG
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State | VA
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Zip | 23803-5043
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Country | US
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Telephone | 804-861-9472
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Fax | 804-733-8884
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. CLIFTON COGER
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Credential | CPA
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Telephone | 804-861-9472
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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-13788
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License Number State | VA
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