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General NPI Number Information
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NPI Number | 1881044881
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Entity Type | Organization
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Legal Business Name | LIKE FAMILY HEALTHCARE LLC
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 1606 RUGBY BLVD NW
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City | ROANOKE
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State | VA
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Zip | 24017-3632
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Country | US
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Telephone | 540-397-6530
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6604
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City | ROANOKE
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State | VA
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Zip | 24017-0604
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Country | US
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Telephone | 540-397-6530
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | MISS OGLIVIER GERTRUDE QUARLES
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Credential | LPN
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Telephone | 540-793-6577
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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 | 5887551
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License Number State | VA
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