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General NPI Number Information
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NPI Number | 1922404342
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Entity Type | Organization
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Legal Business Name | PASSION HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 7918 JONES BRANCH DR STE 451
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City | MC LEAN
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State | VA
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Zip | 22102-3337
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Country | US
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Telephone | 703-752-6128
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Fax | 571-300-7660
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Provider Business Mailing Address
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Address Line | 7918 JONES BRANCH DRIVE, SUITE 451
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City | MCLEAN
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State | VA
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Zip | 22102-2210
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Country | US
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Telephone | 703-752-6128
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Fax | 571-300-7660
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Authorized Official
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Title or Position | OWNER
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Name | MARIE FOFANAH-CONTEH
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Credential |
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Telephone | 703-825-0360
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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 | HCO-171303
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License Number State | VA
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