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General NPI Number Information
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NPI Number | 1831686294
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Entity Type | Organization
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Legal Business Name | AQUA HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 04/20/2018
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Provider Practice Location Address
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Address Line | 202 CHURCH ST SE STE 214
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City | LEESBURG
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State | VA
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Zip | 20175-3031
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Country | US
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Telephone | 571-758-4449
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Fax |
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Provider Business Mailing Address
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Address Line | 202 CHURCH ST SE STE 214
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City | LEESBURG
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State | VA
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Zip | 20175-3031
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/VICE PRESIDENT
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Name | MYRA RASHID
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Credential |
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Telephone | 301-437-3360
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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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