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General NPI Number Information
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NPI Number | 1902605256
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Entity Type | Organization
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Legal Business Name | BROOKE'S HOME HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 5305 LANGSTON BLVD LOWR LEVEL
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City | ARLINGTON
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State | VA
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Zip | 22207-1607
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Country | US
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Telephone | 703-459-0218
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Fax |
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Provider Business Mailing Address
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Address Line | 4625 24TH RD N
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City | ARLINGTON
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State | VA
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Zip | 22207-3514
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Country | US
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Telephone | 703-459-0218
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BROOKE KIDANE
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Credential |
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Telephone | 703-459-0218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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