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General NPI Number Information
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NPI Number | 1609054261
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Entity Type | Organization
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Legal Business Name | GENTLE CARE INC.
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 06/18/2009
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Provider Practice Location Address
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Address Line | 751 THIMBLE SHOALS BLVD SUITE J
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3563
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Country | US
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Telephone | 757-873-4555
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Fax | 757-873-4587
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Provider Business Mailing Address
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Address Line | 751 THIMBLE SHOALS BLVD SUITE J
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3563
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Country | US
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Telephone | 757-873-4555
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Fax | 757-873-4587
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MRS. BRENDA R HOLMES I
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Credential |
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Telephone | 757-873-4555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | HCO-08357
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | HCO- 08357
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License Number State | VA
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