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General NPI Number Information
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NPI Number | 1609019298
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Entity Type | Organization
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Legal Business Name | BESTLIFE HEALTHCARE SERVICES
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Dates
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Enumeration Date | 04/12/2009
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 205 S WHITING ST 608
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City | ALEXANDRIA
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State | VA
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Zip | 22304-7100
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Country | US
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Telephone | 703-370-0813
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Fax | 703-370-3360
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Provider Business Mailing Address
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Address Line | 205 S WHITING ST 608
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City | ALEXANDRIA
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State | VA
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Zip | 22304-7100
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Country | US
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Telephone | 703-370-0813
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Fax | 703-370-3360
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. APRIL CLINTON
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Credential | MA
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Telephone | 703-370-7728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 46885-01
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 46885-01
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 46885-01
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License Number State | VA
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