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General NPI Number Information
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NPI Number | 1902253628
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Entity Type | Organization
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Legal Business Name | ARNESTA HEALTHCARE OF VIRGINIA
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Dates
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Enumeration Date | 05/23/2016
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Last Update Date | 01/06/2018
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Provider Practice Location Address
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Address Line | 1012 W 3RD ST STE J
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City | FARMVILLE
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State | VA
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Zip | 23901-3070
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Country | US
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Telephone | 804-313-6767
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6843
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City | RICHMOND
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State | VA
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Zip | 23230-0843
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Country | US
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Telephone | 804-313-6767
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RANDY REDD
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Credential |
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Telephone | 804-313-6767
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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-181523
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License Number State | VA
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