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General NPI Number Information
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NPI Number | 1568701142
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Entity Type | Organization
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Legal Business Name | THE SPECIAL CARE UNIT, LLC
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Dates
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Enumeration Date | 02/03/2013
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Last Update Date | 02/03/2013
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Provider Practice Location Address
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Address Line | 7400 BEAUFONT SPRINGS DR SUITE 300
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5556
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Country | US
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Telephone | 804-439-5425
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Fax |
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Provider Business Mailing Address
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Address Line | 3365 DILL AVE
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City | RICHMOND
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State | VA
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Zip | 23222-3323
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Country | US
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Telephone | 804-439-5425
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | XAVERIA DENEEN HANSOM
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Credential |
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Telephone | 804-439-5425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | VA
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