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General NPI Number Information
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NPI Number | 1932476397
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Entity Type | Organization
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Legal Business Name | PIONEER PERSONAL CARE , INC.
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 13915 BOYDTON PLANK RD
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City | DINWIDDIE
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State | VA
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Zip | 23841-2451
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Country | US
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Telephone | 804-469-4664
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Fax | 804-469-7745
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Provider Business Mailing Address
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Address Line | PO BOX 1342
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City | HOPEWELL
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State | VA
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Zip | 23860-1342
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Country | US
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Telephone | 804-721-7742
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Fax | 804-469-7745
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BARBARA J CROSBY
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Credential | FNP
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Telephone | 804-721-7742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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