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General NPI Number Information
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NPI Number | 1528588076
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Entity Type | Organization
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Legal Business Name | ALMOSTHOME RESIDENTIAL SERVICES, LLC
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 06/27/2017
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Provider Practice Location Address
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Address Line | 5879 HARVEST SUN RD
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City | WOODBRIDGE
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State | VA
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Zip | 22193-6034
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Country | US
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Telephone | 703-910-7081
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 OPITZ BLVD
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3304
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Country | US
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Telephone | 703-910-7081
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Fax | 703-910-7199
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | IVO NGOSONG
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Credential |
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Telephone | 703-910-7081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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