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General NPI Number Information
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NPI Number | 1750728101
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Entity Type | Organization
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Legal Business Name | KATE HEALTH CARE
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 6969 RICHMOND HWY STE 204
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City | ALEXANDRIA
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State | VA
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Zip | 22306-1804
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Country | US
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Telephone | 703-888-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 6969 RICHMOND HWY STE 204
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City | ALEXANDRIA
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State | VA
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Zip | 22306-1804
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Country | US
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Telephone | 703-888-3377
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. MICHAEL ADELANI ADEDOKUN
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Credential | PH.D., RN
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Telephone | 240-281-8129
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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 | HCO-14964
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License Number State | VA
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