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General NPI Number Information
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NPI Number | 1710960828
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Entity Type | Organization
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Legal Business Name | FC OF VIRGINIA INC
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 101 W MAIN ST
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City | RADFORD
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State | VA
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Zip | 24141-1582
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Country | US
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Telephone | 540-731-3295
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Fax | 540-639-1537
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Provider Business Mailing Address
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Address Line | 14841 DALLAS PKWY STE 625
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City | DALLAS
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State | TX
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Zip | 75254-7641
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Country | US
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Telephone | 214-445-3750
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Fax | 214-445-3902
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Authorized Official
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Title or Position | CCO
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Name | ROBERT PARKER
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Credential |
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Telephone | 214-445-3750
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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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