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General NPI Number Information
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NPI Number | 1922486372
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Entity Type | Organization
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Legal Business Name | FASSITY HOME CARE LLC
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 7013 BACKLICK CT
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City | SPRINGFIELD
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State | VA
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Zip | 22151-3903
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Country | US
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Telephone | 703-473-5563
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Fax | 703-546-1715
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Provider Business Mailing Address
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Address Line | 7013 BACKLICK CT
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City | SPRINGFIELD
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State | VA
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Zip | 22151-3903
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Country | US
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Telephone |
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Fax | 703-546-1715
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Authorized Official
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Title or Position | OWNER
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Name | MARIATU CONTEH
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Credential |
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Telephone | 703-473-5563
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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 151274
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License Number State | VA
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