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General NPI Number Information
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NPI Number | 1851748412
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Entity Type | Organization
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Legal Business Name | AAKESO HOMEHEALTH & WELLNESS INC
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 555 GROVE ST SUITE 100
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City | HERNDON
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State | VA
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Zip | 20170-4705
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Country | US
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Telephone | 703-989-0706
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Fax |
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Provider Business Mailing Address
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Address Line | 555 GROVE ST SUITE 100
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City | HERNDON
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State | VA
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Zip | 20170-4705
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Country | US
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Telephone | 703-989-0706
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MUDDASSIR RIZWAN
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Credential |
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Telephone | 703-989-0706
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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 | HCO161351
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License Number State | VA
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