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General NPI Number Information
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NPI Number | 1992296362
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Entity Type | Organization
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Legal Business Name | HOME TEAM HOME CARE LLC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 14405 JUSTICE RD
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-6901
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Country | US
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Telephone | 804-453-0448
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Fax | 804-597-2028
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Provider Business Mailing Address
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Address Line | 3023 MONTROSE AVE
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City | RICHMOND
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State | VA
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Zip | 23222-2509
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Country | US
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Telephone | 804-243-8753
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Fax | 804-597-2028
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY S ROBINSON
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Credential |
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Telephone | 804-453-0448
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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 |
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License Number State |
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