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NPI 1720463128

NPI 1720463128 : NURTURING HEARTS SERVICES : NEWPORT NEWS, VA

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General NPI Number Information
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    NPI Number           |    1720463128
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    Entity Type          |    Organization 
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    Legal Business Name  |    NURTURING HEARTS SERVICES 
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Dates
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    Enumeration Date     |    07/27/2015
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    Last Update Date     |    07/27/2015
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Provider Practice Location Address
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    Address Line         |    926 VERLINE CT 
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23608
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    Country              |    US
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    Telephone            |    757-893-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    926 VERLINE CT 
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23608-2625
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PROGRAM DIRECTOR
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    Name                 |     AFRICIAFITEMIA  ANSARI 
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    Credential           |    
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    Telephone            |    757-893-7000
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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       |    2287-03-011
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    License Number State |    VA
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