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General NPI Number Information
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NPI Number | 1972850816
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Entity Type | Organization
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Legal Business Name | GILES HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 4433 GODWIN BLVD SUITE A
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City | SUFFOLK
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State | VA
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Zip | 23434-8009
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Country | US
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Telephone | 757-255-9554
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Fax | 757-255-9556
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Provider Business Mailing Address
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Address Line | 4433 GODWIN BLVD SUITE A
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City | SUFFOLK
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State | VA
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Zip | 23434-8483
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Country | US
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Telephone | 757-255-9554
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Fax | 757-255-9556
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DAVENNA CINDY MELTON
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Credential |
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Telephone | 757-515-4609
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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 |
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License Number State | VA
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