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General NPI Number Information
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NPI Number | 1750775433
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Entity Type | Organization
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Legal Business Name | BEYOND COMPANION HOME CARE LLC
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 13939 ANDORRA DR
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City | WOODBRIDGE
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State | VA
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Zip | 22193-2353
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Country | US
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Telephone | 571-408-1452
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Fax | 571-589-8969
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Provider Business Mailing Address
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Address Line | 13939 ANDORRA DR
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City | WOODBRIDGE
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State | VA
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Zip | 22193-2353
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Country | US
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Telephone | 571-408-1452
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Fax | 571-589-8969
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Authorized Official
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Title or Position | PRESIDENT
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Name | LASHAWN DABNEY
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Credential | AAS MA
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Telephone | 540-408-7850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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