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General NPI Number Information
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NPI Number | 1700279668
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Entity Type | Organization
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Legal Business Name | ALLIANCE NURSES FOR HOME HEALTH AND WELLNESS, L.L.C.
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 10523 WEST DR STE A
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City | FAIRFAX
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State | VA
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Zip | 22030-4284
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Country | US
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Telephone | 571-215-3156
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Fax |
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Provider Business Mailing Address
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Address Line | 10523 WEST DR STE A
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City | FAIRFAX
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State | VA
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Zip | 22030-4284
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Country | US
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Telephone | 571-215-3156
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ADEN ZEWDIE
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Credential | RN, BSN, MPH, MS
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Telephone | 571-215-3156
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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 | HCO151259
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License Number State | VA
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