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General NPI Number Information
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NPI Number | 1619620788
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Entity Type | Organization
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Legal Business Name | T. LEE'S HOMECARE SOLUTIONS LLC
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Dates
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Enumeration Date | 01/30/2022
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Last Update Date | 01/30/2022
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Provider Practice Location Address
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Address Line | 4051 CEDAR LN STE C
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City | PORTSMOUTH
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State | VA
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Zip | 23703-2003
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Country | US
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Telephone | 757-409-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 3208 STAMFORD RD
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City | PORTSMOUTH
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State | VA
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Zip | 23703-3732
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Country | US
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Telephone | 757-409-8775
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MALIK LAMONT NEELY
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Credential |
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Telephone | 757-409-8775
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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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