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General NPI Number Information
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NPI Number | 1598858441
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Entity Type | Organization
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Legal Business Name | PERFECTCAREHOMEHEALTHLLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 14416 JEFFERSON DAVIS HWY SUITE 7B
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City | WOODBRIDGE
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State | VA
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Zip | 22191-2801
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Country | US
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Telephone | 703-492-7227
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Fax | 703-492-8686
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Provider Business Mailing Address
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Address Line | 14416 JEFFERSON DAVIS HWY SUITE 7B
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City | WOODBRIDGE
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State | VA
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Zip | 22191-2801
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Country | US
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Telephone | 703-492-7227
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Fax | 703-492-8686
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Authorized Official
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Title or Position | OWNERADMINISSTRATOR
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Name | MRS. CIMWAYLLIA POLICIA TAYLOR
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Credential |
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Telephone | 703-492-7227
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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 | HCO07290
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License Number State | VA
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