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NPI 1962680579

NPI 1962680579 : DIRECT HOME HEALTH CARE, INC. : PORTSMOUTH, VA

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General NPI Number Information
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    NPI Number           |    1962680579
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    Entity Type          |    Organization 
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    Legal Business Name  |    DIRECT HOME HEALTH CARE, INC. 
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Dates
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    Enumeration Date     |    02/06/2008
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    Last Update Date     |    02/06/2008
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Provider Practice Location Address
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    Address Line         |    3100 LONDON BLVD SUITE 1
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    City                 |    PORTSMOUTH
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    State                |    VA
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    Zip                  |    23707-3402
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    Country              |    US
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    Telephone            |    757-405-6320
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    Fax                  |    757-405-6326
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Provider Business Mailing Address
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    Address Line         |    729 THIMBLE SHOALS BLVD SUITE 3A
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23606-4217
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    Country              |    US
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    Telephone            |    757-223-1211
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    Fax                  |    757-223-1477
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. TROY F ILAPIT 
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    Credential           |    R.N.
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    Telephone            |    757-405-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    HCO O8155
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    License Number State |    VA
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