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General NPI Number Information
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NPI Number | 1598289589
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Entity Type | Organization
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Legal Business Name | VIRTUOUS HOMECARE
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 15151 MANDARIN COVE
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City | GULFPORT
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State | MS
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Zip | 39503-8488
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Country | US
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Telephone | 228-831-9145
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Fax |
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Provider Business Mailing Address
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Address Line | 15151 MANDARIN CV
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City | GULFPORT
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State | MS
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Zip | 39503-8488
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Country | US
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Telephone | 228-831-9145
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. JESSICA S PARNELL
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Credential |
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Telephone | 228-313-5843
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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 | MS
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