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General NPI Number Information
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NPI Number | 1588537609
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Entity Type | Organization
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Legal Business Name | 1 BIG FAMILY LLC
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 415 SAINT PAULS BLVD UNIT 301
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City | NORFOLK
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State | VA
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Zip | 23510-2431
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Country | US
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Telephone | 757-230-0258
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Fax |
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Provider Business Mailing Address
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Address Line | 415 SAINT PAULS BLVD UNIT 301
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City | NORFOLK
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State | VA
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Zip | 23510-2431
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Country | US
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Telephone | 757-230-0258
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | AUDREX M HARRIS
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Credential | BA, QMHP
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Telephone | 757-230-0258
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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 |
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