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General NPI Number Information
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NPI Number | 1922283605
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Entity Type | Organization
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Legal Business Name | A-1 COMPANION & ELDER CARE INC.
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 5765-F BURKE CENTRE PKWY #244
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City | BURKE
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State | VA
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Zip | 22015-2264
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Country | US
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Telephone | 703-200-1298
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Fax | 703-239-0152
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Provider Business Mailing Address
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Address Line | 5765-F BURKE CENTRE PKWY #244
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City | BURKE
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State | VA
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Zip | 22015-2264
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Country | US
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Telephone | 703-200-1298
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Fax | 703-239-0152
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. GERI CLEARWATER
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Credential |
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Telephone | 703-200-1298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 2705135905
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License Number State | VA
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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 | 2705135905
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License Number State | VA
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