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General NPI Number Information
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NPI Number | 1649935073
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Entity Type | Organization
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Legal Business Name | CORE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 692 WINDBROOK CIR
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-8845
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Country | US
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Telephone | 912-515-4615
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Fax |
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Provider Business Mailing Address
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Address Line | 4445 CORPORATION LN STE 264
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3262
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Country | US
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Telephone | 757-250-2104
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. RODREQUEZ JONES II
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Credential |
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Telephone | 757-250-2104
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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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