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NPI 1992420780

NPI 1992420780 : MELIORATION ASSURANCE LLC : ALEXANDRIA, VA

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General NPI Number Information
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    NPI Number           |    1992420780
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    Entity Type          |    Organization 
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    Legal Business Name  |    MELIORATION ASSURANCE LLC 
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Dates
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    Enumeration Date     |    10/05/2022
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    Last Update Date     |    04/03/2023
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Provider Practice Location Address
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    Address Line         |    2800 EISENHOWER AVE STE 220C20 
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    City                 |    ALEXANDRIA
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    State                |    VA
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    Zip                  |    22314-5204
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    Country              |    US
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    Telephone            |    703-977-8741
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7264 TWILIGHT CT 
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    City                 |    WARRENTON
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    State                |    VA
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    Zip                  |    20187-3586
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     AUSTIN  SKELTON 
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    Credential           |    FNP
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    Telephone            |    540-268-0676
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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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