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General NPI Number Information
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NPI Number | 1992273635
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Entity Type | Organization
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Legal Business Name | AAA HOME CARE LLC
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Dates
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Enumeration Date | 11/12/2018
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 4609 PINECREST OFFICE PARK DR STE D
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City | ALEXANDRIA
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State | VA
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Zip | 22312-1442
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Country | US
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Telephone | 38-273-7577
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Fax | 703-226-3328
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Provider Business Mailing Address
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Address Line | 4609 PINECREST OFFICE PARK DR STE D
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City | ALEXANDRIA
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State | VA
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Zip | 22312-1442
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Country | US
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Telephone | 703-827-3757
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Fax | 703-226-3328
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. BRIMA B DEEN
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Credential | CMBCS
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Telephone | 571-217-8394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing 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 | 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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