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General NPI Number Information
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NPI Number | 1912548637
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Entity Type | Organization
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Legal Business Name | PATIENT CENTERED HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 4231 DUKE ST STE B
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2485
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Country | US
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Telephone | 571-317-7981
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Fax | 571-858-5247
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Provider Business Mailing Address
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Address Line | 4231 DUKE ST STE B
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2485
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Country | US
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Telephone | 571-317-7981
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Fax | 571-858-5247
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARY VANDY
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Credential | RN
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Telephone | 571-232-0216
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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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