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General NPI Number Information
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NPI Number | 1972959591
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Entity Type | Organization
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Legal Business Name | R & J HOME HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 05/12/2016
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Last Update Date | 05/12/2016
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Provider Practice Location Address
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Address Line | 14798 BUILD AMERICA DR
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3435
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Country | US
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Telephone | 571-477-3406
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Fax |
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Provider Business Mailing Address
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Address Line | 14798 BUILD AMERICA DR
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3435
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Country | US
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Telephone | 571-477-3406
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RITA AMPOMAH
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Credential |
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Telephone | 703-494-1100
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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 | 161414
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License Number State | VA
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