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General NPI Number Information
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NPI Number | 1821707928
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Entity Type | Organization
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Legal Business Name | ASSURANCEFAMILYCARE LLC
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 12801 DARBY BROOK CT STE 201
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2497
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Country | US
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Telephone | 202-704-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 5638 NORTHTON CT
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City | WOODBRIDGE
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State | VA
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Zip | 22193-6905
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Country | US
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Telephone | 202-704-3668
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANISA ABUKAR
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Credential |
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Telephone | 240-453-1245
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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 |
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License Number State |
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