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General NPI Number Information
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NPI Number | 1528423423
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Entity Type | Organization
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Legal Business Name | GALAXY HOME HEALTH CARE
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Dates
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Enumeration Date | 12/18/2015
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 8619-C RICHMOND HWY, ENGLESIDE OFFICE PARK SUITE C,
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City | ALEXANDRIA
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State | VA
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Zip | 22309
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Country | US
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Telephone | 703-436-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 8619 RICHMOND HWY, ENGLESIDE OFFICE PARK SUITE C,
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City | ALEXANDRIA
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State | VA
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Zip | 22309
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Country | US
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Telephone | 703-436-7006
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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 | TARILA F LLOYD
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Credential | M.D
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Telephone | 703-332-9697
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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 | HCO161364
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License Number State | VA
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