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General NPI Number Information
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NPI Number | 1548588098
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Entity Type | Organization
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Legal Business Name | ASCENT HOMECARE CONCIERGE LLC
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Dates
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Enumeration Date | 05/07/2010
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 7217 LOCKPORT PL SUITE 106
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City | LORTON
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State | VA
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Zip | 22079-1584
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Country | US
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Telephone | 703-226-9996
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Fax | 703-286-7294
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Provider Business Mailing Address
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Address Line | 7217 LOCKPORT PL SUITE 106
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City | LORTON
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State | VA
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Zip | 22079-1584
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Country | US
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Telephone | 703-372-2022
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Fax | 703-286-7294
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JUDITH ANYI NKEMATABONG
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Credential |
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Telephone | 703-226-9996
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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 | HCO10652
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License Number State | VA
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