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General NPI Number Information
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NPI Number | 1639605660
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Entity Type | Organization
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Legal Business Name | HOME RECOVERY-HOMEAID, INC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 816 E 3RD ST
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City | FARMVILLE
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State | VA
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Zip | 23901-1608
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Country | US
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Telephone | 434-392-7336
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Fax | 434-392-1970
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Provider Business Mailing Address
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Address Line | 816 E 3RD ST
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City | FARMVILLE
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State | VA
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Zip | 23901-1608
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Country | US
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Telephone | 434-392-7336
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Fax | 434-392-1970
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Authorized Official
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Title or Position | CFO
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Name | KEVIN 'DEE' DEWITT
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Credential |
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Telephone | 434-315-5222
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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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