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General NPI Number Information
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NPI Number | 1568013100
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Entity Type | Organization
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Legal Business Name | AMERICAN HOME HEALTH TEAM LLC
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 4242 CHAIN BRIDGE RD STE B
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City | FAIRFAX
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State | VA
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Zip | 22030-8146
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Country | US
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Telephone | 703-639-7888
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Fax | 703-995-4747
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Provider Business Mailing Address
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Address Line | 2611 JEFFERSON DAVIS HWY STE 600
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City | ARLINGTON
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State | VA
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Zip | 22202-4016
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Country | US
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Telephone | 571-775-8911
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Fax | 703-563-9615
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ISMAIL MOHAMED
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Credential |
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Telephone | 703-639-7888
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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 |
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License Number State |
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