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General NPI Number Information
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NPI Number | 1790530723
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Entity Type | Organization
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Legal Business Name | NEW GENERATION HOME CARE LLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 583 FROST AVE
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City | WARRENTON
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State | VA
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Zip | 20186-3023
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Country | US
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Telephone | 826-212-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 14411 WOODWILL LN
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City | GAINESVILLE
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State | VA
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Zip | 20155-3894
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OYINDAMOLA RUTH LAWAL
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Credential |
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Telephone | 571-471-0565
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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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