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General NPI Number Information
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NPI Number | 1730555780
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Entity Type | Organization
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Legal Business Name | NO PLACE LIKE HOME
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 1713 SUNSET DR
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City | BASSETT
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State | VA
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Zip | 24055-4834
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Country | US
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Telephone | 276-421-2156
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Fax | 276-421-2157
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Provider Business Mailing Address
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Address Line | 1713 SUNSET DR
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City | BASSETT
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State | VA
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Zip | 24055-4834
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Country | US
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Telephone | 276-421-2156
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Fax | 276-421-2157
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELENE HAIRSTON STEPHENSON
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Credential | RN
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Telephone | 276-421-2156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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