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General NPI Number Information
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NPI Number | 1760247027
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Entity Type | Organization
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Legal Business Name | ASSURANCE HEALTH SERVICES
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 15312 LORD CULPEPER CT
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4935
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Country | US
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Telephone | 703-485-5156
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Fax | 703-583-5555
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Provider Business Mailing Address
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Address Line | 16354 KRAMER ESTATE DR
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City | WOODBRIDGE
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State | VA
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Zip | 22191-6000
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Country | US
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Telephone | 703-485-5156
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Fax | 703-583-5555
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | JENNIFER PATTERSON
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Credential |
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Telephone | 703-485-5156
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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