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General NPI Number Information
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NPI Number | 1700183779
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Entity Type | Organization
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Legal Business Name | RTVT ENTERPRISES LLC
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 4870 SADLER RD SUITE 300
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City | GLEN ALLEN
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State | VA
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Zip | 23060-6294
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Country | US
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Telephone | 804-368-3200
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Fax | 888-761-8316
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Provider Business Mailing Address
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Address Line | 4870 SADLER RD SUITE 300
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City | GLEN ALLEN
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State | VA
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Zip | 23060-6294
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Country | US
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Telephone | 804-368-3200
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Fax | 888-761-8316
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Authorized Official
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Title or Position | OWNER/CARE COORDINATOR
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Name | LYNN A HANCOCK
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Credential |
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Telephone | 804-368-3200
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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 | HCO11655
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License Number State | VA
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