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General NPI Number Information
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NPI Number | 1649663980
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Entity Type | Organization
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Legal Business Name | DIRECT HOME HEALTH CARE INC
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 729 THIMBLE SHOALS BLVD SUITE 3A
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4217
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Country | US
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Telephone | 757-405-6320
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Fax | 757-673-5762
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Provider Business Mailing Address
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Address Line | 729 THIMBLE SHOALS BLVD SUITE 3A
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4217
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Country | US
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Telephone | 757-405-6320
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Fax | 757-673-5762
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Authorized Official
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Title or Position | PRESIDENT
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Name | TROY FERNANDO ILAPIT
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Credential | REGISTERED NURSE
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Telephone | 757-405-6320
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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 | HCO15760
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License Number State | VA
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