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General NPI Number Information
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NPI Number | 1538776067
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Entity Type | Organization
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Legal Business Name | SHELTER IN PLACE LLC
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 116 E ATLANTIC ST
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City | SOUTH HILL
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State | VA
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Zip | 23970-2002
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Country | US
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Telephone | 434-584-9530
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 411
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City | SOUTH HILL
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State | VA
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Zip | 23970-0411
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Country | US
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Telephone | 434-584-9530
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LINDA CICERO PRIEST
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Credential | RN
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Telephone | 434-584-9530
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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 | NULL
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Taxonomy #2
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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 | NULL
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State | NULL
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