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General NPI Number Information
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NPI Number | 1750780078
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Entity Type | Organization
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Legal Business Name | STRATEGIC HOME HEALTH CARE
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 4602 WESTGROVE CT UNIT A & B
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5414
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Country | US
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Telephone | 757-352-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 4602 WESTGROVE CT UNIT A & B
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5414
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Country | US
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Telephone | 757-352-1560
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. TIFFANY BRADLEY
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Credential |
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Telephone | 757-352-1560
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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 | 147407-0000-7200
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License Number State | VA
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