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General NPI Number Information
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NPI Number | 1588109896
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Entity Type | Organization
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Legal Business Name | ATLAS HOME HEALTHCARE CORP
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 25465 FARMNECK CT
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City | CHANTILLY
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State | VA
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Zip | 20152-4421
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Country | US
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Telephone | 703-327-3159
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Fax |
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Provider Business Mailing Address
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Address Line | 25465 FARMNECK CT
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City | CHANTILLY
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State | VA
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Zip | 20152-4421
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Country | US
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Telephone | 703-327-3159
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Fax |
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | SAFIA SALAH
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Credential |
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Telephone | 703-348-3562
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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-171550
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License Number State | VA
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