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NPI 1669793071

NPI 1669793071 : ACCRON HEALTH CARE INC : FAIRFAX, VA

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General NPI Number Information
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    NPI Number           |    1669793071
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCRON HEALTH CARE INC 
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Dates
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    Enumeration Date     |    06/21/2010
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    Last Update Date     |    06/21/2010
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Provider Practice Location Address
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    Address Line         |    3975 UNIVERSITY DR SUITE 350
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22030-2531
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    Country              |    US
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    Telephone            |    571-490-7600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5501 PATTERSON AVE SUITE 204
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23226-2025
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    Country              |    US
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    Telephone            |    804-288-2360
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     KEITH  JENKINS 
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    Credential           |    
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    Telephone            |    865-406-1465
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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 |    VA
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