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General NPI Number Information
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NPI Number | 1942849989
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Entity Type | Organization
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Legal Business Name | ACCREDITED HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 12/21/2019
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 3022 JAVIER RD SUITE 152
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City | FAIRFAX
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State | VA
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Zip | 22031-4624
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Country | US
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Telephone | 703-721-7770
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Fax | 571-475-9528
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Provider Business Mailing Address
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Address Line | 3022 JAVIER RD SUITE 152
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City | FAIRFAX
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State | VA
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Zip | 22031
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Country | US
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Telephone | 202-258-3344
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Fax | 571-475-9528
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Authorized Official
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Title or Position | CEO
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Name | MR. ROGER ELIAS LEYOU
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Credential |
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Telephone | 202-258-3344
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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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