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General NPI Number Information
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NPI Number | 1609318120
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Entity Type | Organization
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Legal Business Name | EMMANUEL HOME HEALTH VIRGINIA, INC
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Dates
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Enumeration Date | 11/15/2016
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 4544B JOHN MARR DR
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City | ANNANDALE
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State | VA
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Zip | 22003-3308
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Country | US
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Telephone | 443-288-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 4544B JOHN MARR DR
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City | ANNANDALE
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State | VA
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Zip | 22003-3308
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Country | US
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Telephone | 443-288-6670
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA SOL
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Credential |
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Telephone | 443-745-0350
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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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