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General NPI Number Information
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NPI Number | 1861090755
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Entity Type | Organization
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Legal Business Name | AGING AT HOME SOLUTIONS LLC
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 25561 ARTHUR PL
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City | SOUTH RIDING
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State | VA
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Zip | 20152-6313
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Country | US
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Telephone | 703-403-5326
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Fax |
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Provider Business Mailing Address
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Address Line | 25561 ARTHUR PL
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City | SOUTH RIDING
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State | VA
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Zip | 20152-6313
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Country | US
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Telephone | 703-403-5326
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONNA JACKSON
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Credential | OT
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Telephone | 703-403-5326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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