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General NPI Number Information
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NPI Number | 1669193546
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Entity Type | Organization
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Legal Business Name | BLOSSOM FATIMA HOME HEALTHCARE SERVICES
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 7627 FAIRFIELD WOODS CT APT D3
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City | LORTON
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State | VA
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Zip | 22079-1841
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Country | US
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Telephone | 703-862-5977
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Fax | 703-890-2477
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Provider Business Mailing Address
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Address Line | 7627 FAIRFIELD WOODS CT APT D3
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City | LORTON
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State | VA
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Zip | 22079-1841
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Country | US
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Telephone | 703-862-5977
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Fax | 703-890-2477
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. ALIEU ALIMAMY KAMARA
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Credential |
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Telephone | 703-862-5977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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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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