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General NPI Number Information
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NPI Number | 1902345382
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Entity Type | Organization
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Legal Business Name | BEGONIA HOME HEALTH
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 6601 LITTLE RIVER TPKE STE 240
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City | ALEXANDRIA
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State | VA
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Zip | 22312-1303
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Country | US
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Telephone | 703-944-0644
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Fax |
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Provider Business Mailing Address
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Address Line | 6040 RICHMOND HWY SUITE 512
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City | ALEXANDRIA
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State | VA
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Zip | 22303-2156
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Country | US
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Telephone | 919-593-1690
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Fax | 703-563-0571
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISS NAMINA KAMARA
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Credential |
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Telephone | 919-593-1690
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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 |
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