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General NPI Number Information
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NPI Number | 1780469288
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Entity Type | Organization
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Legal Business Name | CENTRIXCARE LLC
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 722 E MARKET ST STE 102 OFC A37
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City | LEESBURG
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State | VA
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Zip | 20176-4475
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Country | US
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Telephone | 571-479-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 722 E MARKET ST STE 102
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City | LEESBURG
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State | VA
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Zip | 20176-4475
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Country | US
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Telephone | 571-479-7991
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | NAIMA ABDI
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Credential |
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Telephone | 571-233-2093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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