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General NPI Number Information
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NPI Number | 1871904078
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Entity Type | Organization
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Legal Business Name | ARISE-N-SHINE HEALTHCARE, LLC
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 08/11/2014
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Provider Practice Location Address
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Address Line | 3022 JAVIER RD SUITE 105H
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City | FAIRFAX
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State | VA
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Zip | 22031-4645
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Country | US
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Telephone | 703-854-1067
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Fax | 703-854-1071
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Provider Business Mailing Address
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Address Line | 3022 JAVIER RD SUITE 105
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City | FAIRFAX
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State | VA
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Zip | 22031-4645
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Country | US
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Telephone | 703-854-1067
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Fax | 703-854-1071
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Authorized Official
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Title or Position | OWNER
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Name | MS. DESIREE JOHNSON
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Credential | LPN
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Telephone | 703-854-1067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care
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License Number |
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License Number State |
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