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General NPI Number Information
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NPI Number | 1861943763
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Entity Type | Organization
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Legal Business Name | A1 HOME CARE, LLC
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 13928 JEFFERSON DAVIS HWY STE # C
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City | WOODBRIDGE
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State | VA
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Zip | 22191
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Country | US
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Telephone | 703-459-3253
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Fax |
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Provider Business Mailing Address
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Address Line | 29 BRUSHY CREEK CIR
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-8442
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Country | US
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Telephone | 703-459-3253
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SAMUEL OSEW ASARE
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Credential |
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Telephone | 703-459-3253
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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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