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General NPI Number Information
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NPI Number | 1679959373
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Entity Type | Organization
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Legal Business Name | VA HOME CARE, INC.
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 5103D BACKLICK RD
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City | ANNANDALE
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State | VA
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Zip | 22003-6079
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Country | US
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Telephone | 703-574-7454
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Fax | 703-574-7439
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Provider Business Mailing Address
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Address Line | 5103D BACKLICK RD
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City | ANNANDALE
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State | VA
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Zip | 22003-6079
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Country | US
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Telephone | 703-574-7454
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Fax | 703-574-7439
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Authorized Official
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Title or Position | CHIEF OPERATIONS MANAGER
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Name | ASHOK BHAGI
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Credential |
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Telephone | 703-574-7454
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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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