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General NPI Number Information
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NPI Number | 1902598865
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Entity Type | Individual
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Provider Name | RASHONDA SPRUILL ASSISTANT ADMINISTRA
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Gender | Female
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 5353 E PRINCESS ANNE RD STE F5353E
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City | NORFOLK
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State | VA
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Zip | 23502-1861
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Country | US
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Telephone | 757-272-3868
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Fax | 757-578-2649
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Provider Business Mailing Address
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Address Line | 5353 E PRINCESS ANNE RD STE F5353E
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City | NORFOLK
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State | VA
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Zip | 23502-1861
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Country | US
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Telephone | 757-272-3868
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Fax | 757-578-2649
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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-253241
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | HCO-253241
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License Number State | VA
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