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General NPI Number Information
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NPI Number | 1982712295
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Entity Type | Organization
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Legal Business Name | OLD DOMINION HOME HEALTH SERVICES
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Dates
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Enumeration Date | 08/27/2006
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 8014 MIDLOTHIAN TPKE SUITE 200
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City | RICHMOND
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State | VA
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Zip | 23235-5291
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Country | US
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Telephone | 804-745-5133
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Fax | 804-745-5526
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Provider Business Mailing Address
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Address Line | 8014 MIDLOTHIAN TPKE SUITE 200
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City | RICHMOND
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State | VA
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Zip | 23235-5291
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Country | US
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Telephone | 804-745-5133
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Fax | 804-745-5526
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. ISABELLE HILLIARD
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Credential | RN
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Telephone | 804-745-5133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0206008463
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License Number State | VA
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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 | 608
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License Number State | VA
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