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General NPI Number Information
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NPI Number | 1538569223
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Entity Type | Organization
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Legal Business Name | VIRGINIA HEALTHCARE SERVICES OF FREDERICKSBURG, LLC
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 3042 VALLEY AVE SUITE 102
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City | WINCHESTER
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State | VA
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Zip | 22601-2669
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Country | US
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Telephone | 540-369-8322
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Fax | 540-662-5338
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Provider Business Mailing Address
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Address Line | 3042 VALLEY AVE SUITE 102
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City | WINCHESTER
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State | VA
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Zip | 22601-2669
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Country | US
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Telephone | 540-369-8322
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Fax | 540-662-5338
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR OF NURSING
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Name | MS. BETTY SALE COREY
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Credential | R.N.
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Telephone | 540-369-8322
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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-11696
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License Number State | VA
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