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General NPI Number Information
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NPI Number | 1669917845
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Entity Type | Organization
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Legal Business Name | SMH HOLDINGS INC
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Dates
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Enumeration Date | 12/27/2016
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 37 MAIN ST SUITE 202
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City | WARRENTON
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State | VA
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Zip | 20186-3445
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Country | US
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Telephone | 540-579-7570
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Fax | 540-317-3146
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Provider Business Mailing Address
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Address Line | 37 MAIN ST SUITE 202
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City | WARRENTON
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State | VA
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Zip | 20186-3445
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Country | US
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Telephone | 540-579-7570
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Fax | 540-317-3146
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Authorized Official
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Title or Position | OWNER/PRESIDENT OF BUSINESS OP
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Name | MRS. STACEY MARIE HARVEY
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Credential |
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Telephone | 540-579-7570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HCO-171554
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License Number State | VA
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