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General NPI Number Information
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NPI Number | 1982489795
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Entity Type | Organization
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Legal Business Name | PRINCESS HOMECARE
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 13800 COPPERMINE RD
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City | HERNDON
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State | VA
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Zip | 20171-6163
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Country | US
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Telephone | 571-561-8024
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Fax |
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Provider Business Mailing Address
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Address Line | 5211 SIDEBURN RD
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City | FAIRFAX
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State | VA
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Zip | 22032-2641
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Country | US
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Telephone | 703-401-9366
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS NOORHAN ISHAQ
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Credential |
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Telephone | 703-401-9366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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