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General NPI Number Information
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NPI Number | 1831458942
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Entity Type | Organization
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Legal Business Name | QUALITY CARE INFUSION NURSES, LLC
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 15390 OCTOBER WAY
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City | HAYMARKET
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State | VA
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Zip | 20169-1040
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Country | US
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Telephone | 703-946-4316
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Fax | 703-753-6960
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Provider Business Mailing Address
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Address Line | 15390 OCTOBER WAY
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City | HAYMARKET
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State | VA
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Zip | 20169-1040
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Country | US
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Telephone | 703-946-4316
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Fax | 703-753-6960
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | MRS. LEE ANN SEAGRAVE
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Credential | RN, BSN, CRNI
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Telephone | 703-946-4316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | S403587-1
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License Number State | VA
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