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General NPI Number Information
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NPI Number | 1598621070
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Entity Type | Organization
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Legal Business Name | PRECIOUS LOVE FAMILY SERVICES
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 301 GOODE WAY
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City | PORTSMOUTH
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State | VA
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Zip | 23704-2266
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Country | US
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Telephone | 757-610-3454
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Fax |
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Provider Business Mailing Address
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Address Line | 123 RIVERWOOD TRCE
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City | SUFFOLK
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State | VA
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Zip | 23434-1502
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Country | US
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Telephone | 757-610-3454
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAWAIN FRAZIER
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Credential |
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Telephone | 757-610-3454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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