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General NPI Number Information
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NPI Number | 1619345691
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Entity Type | Organization
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Legal Business Name | MALVIA'S CRAFT & SERVICES, INC.
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 180 SUNSHINE DR
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City | WINCHESTER
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State | VA
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Zip | 22602-6746
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Country | US
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Telephone | 540-247-6139
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Fax | 540-696-2584
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Provider Business Mailing Address
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Address Line | 180 SUNSHINE DR
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City | WINCHESTER
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State | VA
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Zip | 22602-6746
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Country | US
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Telephone | 540-247-6139
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Fax | 540-696-2584
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Authorized Official
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Title or Position | DIRECTOR & PRESIDENT
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Name | MRS. MALVIA EARLE
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Credential |
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Telephone | 540-247-6139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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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 | 000000000
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License Number State | VA
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