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General NPI Number Information
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NPI Number | 1902002686
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Entity Type | Organization
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Legal Business Name | ALLIANCE IN-HOME CARE, LLC
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6201 LEESBURG PIKE STE 6
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2201
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Country | US
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Telephone | 703-825-1067
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 LEESBURG PIKE STE 6
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2201
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Country | US
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Telephone | 703-825-1067
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. PRISCILLA R. CASTILLO-HESS
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Credential | MHS, CSA
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Telephone | 703-625-1067
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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 | HCO-07426
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License Number State | VA
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