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General NPI Number Information
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NPI Number | 1790299337
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Entity Type | Organization
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Legal Business Name | DAILY DOSE NURSING SERVICES
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Dates
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Enumeration Date | 11/17/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 4330 RIDGEWOOD CENTER DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-5307
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Country | US
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Telephone | 571-298-3392
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Fax |
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Provider Business Mailing Address
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Address Line | 4330 RIDGEWOOD CENTER DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-5307
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Country | US
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Telephone | 571-298-3392
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. KOUADIO KRA KOKO
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Credential | REGISTERED NURSE
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Telephone | 703-843-6603
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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 | HCO-181328
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | HCO-181328
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HCO-181328
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License Number State | VA
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