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General NPI Number Information
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NPI Number | 1568820603
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Entity Type | Organization
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Legal Business Name | EXCELLENT CARE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 05/13/2023
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Provider Practice Location Address
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Address Line | 1684 ROSEDALE CT
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3014
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Country | US
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Telephone | 571-359-6335
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Fax | 571-428-2027
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Provider Business Mailing Address
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Address Line | 1684 ROSEDALE CT
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3014
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Country | US
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Telephone | 703-973-0176
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Fax | 571-428-2027
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROSE AKHOASEGBE EHICHIOYA
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Credential | RN, PHMNP, PHD
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Telephone | 703-973-0176
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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 | HCO-161374
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License Number State | VA
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