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NPI 1982216727

NPI 1982216727 : ALDRICH CARE SOLUTION,LLC. : STAFFORD, VA

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General NPI Number Information
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    NPI Number           |    1982216727
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALDRICH CARE SOLUTION,LLC. 
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Dates
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    Enumeration Date     |    08/22/2020
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    Last Update Date     |    12/23/2020
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Provider Practice Location Address
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    Address Line         |    245 GARRISONVILLE RD STE 102 
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    City                 |    STAFFORD
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    State                |    VA
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    Zip                  |    22554-8901
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    Country              |    US
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    Telephone            |    571-409-9991
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    Fax                  |    540-779-5033
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Provider Business Mailing Address
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    Address Line         |    209 CHESTERBROOK CT # 209 
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    City                 |    STAFFORD
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    State                |    VA
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    Zip                  |    22554-4880
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    Country              |    US
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    Telephone            |    571-409-9991
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    Fax                  |    540-779-5033
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTIVE
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    Name                 |     AARON WORLANYO ODUM 
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    Credential           |    
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    Telephone            |    571-409-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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 |    
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