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General NPI Number Information
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NPI Number | 1841601663
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Entity Type | Organization
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Legal Business Name | THE SPECIAL CARE UNIT LLC
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 9713 N RUN RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-3924
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Country | US
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Telephone | 804-439-5425
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24611
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City | RICHMOND
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State | VA
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Zip | 23224-0611
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Country | US
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Telephone | 804-439-5425
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. XAVERIA DENEEN HANSOM
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Credential | CNA
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Telephone | 804-439-5425
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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 | VA
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