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General NPI Number Information
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NPI Number | 1639617350
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST HOME HEALTHCARE ,LLC
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 506 S INDEPENDENCE BLVD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1154
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Country | US
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Telephone | 757-803-7406
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Fax |
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Provider Business Mailing Address
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Address Line | 506 S INDEPENDENCE BLVD 202
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1154
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Country | US
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Telephone | 757-502-4626
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | RONISHIA CHAMBLIS
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Credential |
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Telephone | 757-803-7406
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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 | 156974-7200
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License Number State | VA
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