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General NPI Number Information
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NPI Number | 1700028263
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Entity Type | Organization
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Legal Business Name | HEBRON HOMES LLC
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 05/28/2009
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Provider Practice Location Address
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Address Line | 2114 ANGUS RD SUITE 237
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-2768
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Country | US
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Telephone | 434-293-6961
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Fax | 540-301-1800
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Provider Business Mailing Address
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Address Line | 2114 ANGUS RD SUITE 237
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-2768
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Country | US
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Telephone | 434-293-6961
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Fax | 540-301-1800
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | YVONNE S OKYERE
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Credential | RN
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Telephone | 434-293-6961
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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 | HCO-09557
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License Number State | VA
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