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General NPI Number Information
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NPI Number | 1518693944
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Entity Type | Organization
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Legal Business Name | KAY OF HEARTS HOME HEALTH CARE
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 4049 CEDAR LN STE D
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City | PORTSMOUTH
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State | VA
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Zip | 23703-2003
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Country | US
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Telephone | 757-800-3472
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Fax |
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Provider Business Mailing Address
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Address Line | 4049 CEDAR LN STE D
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City | PORTSMOUTH
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State | VA
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Zip | 23703-2003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | KADIJAH WILLIAMS
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Credential |
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Telephone | 757-300-6134
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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 |
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License Number State |
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