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General NPI Number Information
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NPI Number | 1811699192
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Entity Type | Organization
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Legal Business Name | BEATTYCARE COMMUNITY AND FAMILY SERVICES LLC
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 6092 FRANCONIA RD
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City | ALEXANDRIA
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State | VA
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Zip | 22310-1741
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Country | US
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Telephone | 703-347-7444
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Fax | 703-665-6570
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Provider Business Mailing Address
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Address Line | 6092 FRANCONIA RD
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City | ALEXANDRIA
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State | VA
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Zip | 22310-1741
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Country | US
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Telephone | 703-347-7444
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Fax | 703-665-6570
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. CLIFFORD E BEATTY
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Credential |
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Telephone | 703-505-6184
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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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