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NPI 1730161365

NPI 1730161365 : FC OF VIRGINIA INC : STAUNTON, VA

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General NPI Number Information
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    NPI Number           |    1730161365
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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     |    11/18/2005
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    Last Update Date     |    04/20/2016
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Provider Practice Location Address
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    Address Line         |    106 ROWE RD #103
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    City                 |    STAUNTON
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    State                |    VA
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    Zip                  |    24401-6714
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    Country              |    US
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    Telephone            |    540-886-0342
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    Fax                  |    540-886-0962
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Provider Business Mailing Address
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    Address Line         |    4055 VALLEY VIEW LN 5TH FLOOR
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75244-5074
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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    |    CEO
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    Name                 |    MR. PAUL D FOSTER 
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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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