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General NPI Number Information
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NPI Number | 1831620715
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Entity Type | Organization
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Legal Business Name | CAMERICARE HEALTH SERVICES
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 8816 COPPER LEAF WAY
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City | FAIRFAX STATION
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State | VA
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Zip | 22039-3078
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Country | US
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Telephone | 703-493-9381
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Fax |
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Provider Business Mailing Address
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Address Line | 85 S. BRAGG ST., SUITE 500 CAMERICARE HEALTH SERVICES
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City | ALEXANDRIA
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State | VA
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Zip | 22312
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Country | US
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Telephone | 470-266-6693
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Fax |
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Authorized Official
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Title or Position | FINANCIAL MANAGER
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Name | JULIUS WAMEY
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Credential |
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Telephone | 470-266-6693
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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 | HCO171361
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License Number State | VA
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