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General NPI Number Information
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NPI Number | 1912337940
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Entity Type | Organization
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Legal Business Name | OPULENT SPRINGS RESOURCES
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 17301 JEFFERSON DAVIS HWY
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23834-5338
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Country | US
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Telephone | 804-432-9096
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Fax | 804-275-5412
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Provider Business Mailing Address
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Address Line | 17301 JEFFERSON DAVIS HWY
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23834-5338
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Country | US
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Telephone | 804-432-9096
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Fax | 804-275-5412
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Authorized Official
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Title or Position | VP-DEVELOPMENT
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Name | MRS. SYLVIA BERNETTA JONES
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Credential |
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Telephone | 804-836-2089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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