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General NPI Number Information
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NPI Number | 1548561822
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Entity Type | Organization
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Legal Business Name | SECURE HOME HEALTH, INC.
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 5762 CHESAPEAKE BLVD SUITE 311
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City | NORFOLK
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State | VA
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Zip | 23513-5324
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Country | US
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Telephone | 757-818-8389
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Fax | 757-803-9529
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Provider Business Mailing Address
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Address Line | 5762 CHESAPEAKE BLVD SUITE 311
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City | NORFOLK
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State | VA
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Zip | 23513-5324
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Country | US
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Telephone | 757-818-8389
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Fax | 757-803-9529
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CASSANDRA DANIELS
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Credential |
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Telephone | 757-818-8389
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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 | HCO11700
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License Number State | VA
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