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General NPI Number Information
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NPI Number | 1689253148
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Entity Type | Organization
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Legal Business Name | LEGACY HEALTHCARE LLC
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 816 GREENBRIER CIR STE 208
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2642
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Country | US
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Telephone | 757-227-4047
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Fax | 757-227-4109
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Provider Business Mailing Address
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Address Line | 816 GREENBRIER CIR STE 208
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2642
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Country | US
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Telephone | 757-227-4047
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Fax | 757-227-4109
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | DENNIS LACHENEY
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Credential |
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Telephone | 804-481-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion 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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 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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