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General NPI Number Information
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NPI Number | 1952703514
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Entity Type | Organization
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Legal Business Name | WASHINGTON HOME CARE INC
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 5300 SHAWNEE RD SUITE 101
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2311
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Country | US
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Telephone | 703-850-1100
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Fax | 703-354-4580
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Provider Business Mailing Address
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Address Line | 5300 SHAWNEE RD SUITE 101
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2311
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Country | US
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Telephone | 703-850-1100
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Fax | 703-354-4580
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MI KYUNG KIM
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Credential |
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Telephone | 703-850-1100
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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 | HCO151216
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License Number State | VA
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