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General NPI Number Information
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NPI Number | 1639702343
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Entity Type | Organization
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Legal Business Name | INFINITE PERSONAL CARE LLC
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Dates
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Enumeration Date | 02/20/2020
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 1750 LAKEWOOD DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2817
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Country | US
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Telephone | 703-888-7182
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 LAKEWOOD DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2817
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Country | US
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Telephone | 703-490-6999
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Fax |
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Authorized Official
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Title or Position | DON
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Name | NAWAL AINTE
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Credential |
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Telephone | 703-490-6999
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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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