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General NPI Number Information
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NPI Number | 1639482318
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Entity Type | Organization
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Legal Business Name | STANDARD HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 1073 W BROAD ST SUITE 201
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4612
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Country | US
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Telephone | 703-676-7720
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Fax | 703-891-1789
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Provider Business Mailing Address
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Address Line | 20942 DURYEA TER
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City | ASHBURN
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State | VA
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Zip | 20147-6494
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Country | US
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Telephone | 703-675-7720
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Fax | 703-891-1789
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ISIBOR JOY NOSEGBE
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Credential | R.N.
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Telephone | 703-675-7720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HCO-10252
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-10252
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License Number State | VA
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