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General NPI Number Information
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NPI Number | 1003559931
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Entity Type | Organization
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Legal Business Name | VINSON HALL AT HOME LLC
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 6251 OLD DOMINION DR
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City | MC LEAN
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State | VA
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Zip | 22101-4827
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Country | US
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Telephone | 703-970-3710
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Fax |
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Provider Business Mailing Address
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Address Line | 6251 OLD DOMINION DR
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City | MC LEAN
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State | VA
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Zip | 22101-4827
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Country | US
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Telephone | 703-970-3710
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Fax |
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Authorized Official
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Title or Position | CHIEF NURSING OFFICER
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Name | LISA DESMOND
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Credential | RN
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Telephone | 703-970-3710
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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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