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General NPI Number Information
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NPI Number | 1841434800
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Entity Type | Organization
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Legal Business Name | HEALTHCARE SERVICES 101
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 264 HOLBROOK ARCH
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City | SUFFOLK
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State | VA
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Zip | 23434-2156
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Country | US
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Telephone | 757-581-7028
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Fax | 757-538-8943
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Provider Business Mailing Address
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Address Line | 264 HOLBROOK ARCH
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City | SUFFOLK
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State | VA
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Zip | 23434-2156
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Country | US
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Telephone | 757-581-7028
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Fax | 757-538-8943
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Authorized Official
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Title or Position | CEO
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Name | MRS. RAQUEL MONTRELL HARRIS
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Credential | RN,BSN
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Telephone | 757-581-7028
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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 | 0001159829
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License Number State | VA
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