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General NPI Number Information
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NPI Number | 1649716630
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Entity Type | Organization
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Legal Business Name | A KINGS TOUCH HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 812 LIVE OAK DR STE D
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2621
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Country | US
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Telephone | 757-523-5464
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Fax |
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Provider Business Mailing Address
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Address Line | 812 LIVE OAK DR STE D
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2621
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Country | US
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Telephone | 757-523-5464
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KIMALA MORRIS BRADY
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Credential | MPA
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Telephone | 757-748-5870
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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 | 171571
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License Number State | VA
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