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General NPI Number Information
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NPI Number | 1821639501
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Entity Type | Organization
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Legal Business Name | HABLEE HOME CARE & SERVICES LLC
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 11325 RANDOM HILLS RD STE 360
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City | FAIRFAX
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State | VA
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Zip | 22030-0972
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Country | US
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Telephone | 703-225-3366
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Fax | 703-563-9688
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Provider Business Mailing Address
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Address Line | PO BOX 2087
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City | ASHBURN
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State | VA
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Zip | 20146-2087
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Country | US
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Telephone | 703-337-6742
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Fax | 703-563-9688
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | HABIB BOURA
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Credential |
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Telephone | 703-337-6742
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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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