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General NPI Number Information
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NPI Number | 1538481023
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Entity Type | Organization
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Legal Business Name | SISTERS OF HOPE NURSING AGENCY
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 2881 PS BUSINESS CENTER DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4227
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Country | US
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Telephone | 703-763-4601
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Fax |
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Provider Business Mailing Address
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Address Line | 2881-B PS BUSINESS CENTER DRIVE
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4227
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Country | US
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Telephone | 703-763-4601
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. LEOTHA MAE WILKINS
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Credential |
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Telephone | 703-763-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HCO-10629
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License Number State | VA
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