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NPI 1790165645

NPI 1790165645 : CLIENTS FIRST HOME HEALTH INC. : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1790165645
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLIENTS FIRST HOME HEALTH INC. 
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Dates
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    Enumeration Date     |    06/05/2015
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    Last Update Date     |    06/20/2018
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Provider Practice Location Address
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    Address Line         |    1108 MADISON PLZ STE 202 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-5166
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    Country              |    US
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    Telephone            |    757-512-5565
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1108 MADISON PLZ STE 202 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-5166
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    Country              |    US
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    Telephone            |    757-512-5565
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     MARK  MITCHELL 
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    Credential           |    
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    Telephone            |    757-512-5565
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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       |    151097
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    License Number State |    VA
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