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General NPI Number Information
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NPI Number | 1972962587
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Entity Type | Organization
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Legal Business Name | 1ST OPTION HOME HEALTH,LLC
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 13190 CENTERPOINTE WAY STE 202
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City | WOODBRIDGE
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State | VA
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Zip | 22193-5286
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Country | US
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Telephone | 703-659-9205
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Fax | 703-831-0582
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Provider Business Mailing Address
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Address Line | 13190 CENTERPOINTE WAY STE 202
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City | WOODBRIDGE
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State | VA
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Zip | 22193-5286
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Country | US
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Telephone | 703-659-9205
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Fax | 703-831-0582
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ABENA OWUSU-SEKYERE
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Credential |
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Telephone | 703-659-9205
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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 | HC0-161399
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License Number State | VA
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