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General NPI Number Information
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NPI Number | 1912539784
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Entity Type | Organization
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Legal Business Name | HOMES AT WORK COMMUNITY, INC.
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 312 WALLER MILL RD STE 109
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3027
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Country | US
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Telephone | 757-349-8099
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Fax |
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Provider Business Mailing Address
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Address Line | 8520 COURTHOUSE RD
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City | PROVIDENCE FORGE
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State | VA
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Zip | 23140-2519
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Country | US
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Telephone | 757-812-3447
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAWN LISETTE SIMMONS
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Credential |
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Telephone | 757-757-3498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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