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General NPI Number Information
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NPI Number | 1609272616
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Entity Type | Organization
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Legal Business Name | LEADER HOME HEALTH CARE CORP.
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 11/23/2014
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Provider Practice Location Address
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Address Line | 9501 DANIEL FRENCH ST
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City | LORTON
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State | VA
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Zip | 22079-2352
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Country | US
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Telephone | 703-237-2182
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Fax | 703-237-0613
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Provider Business Mailing Address
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Address Line | 9501 DANIEL FRENCH ST
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City | LORTON
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State | VA
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Zip | 22079-2352
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Country | US
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Telephone | 703-862-9282
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Fax | 703-237-0613
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Authorized Official
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Title or Position | OWNER/ DIRECTOR
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Name | DR. THU ANH BUI
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Credential | DOCTOR OF PHARMACY
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Telephone | 703-862-9282
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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 |
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