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General NPI Number Information
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NPI Number | 1013207901
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Entity Type | Organization
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Legal Business Name | VIZION ONE INC
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 1821 UNIVERSITY AVE W STE 126
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City | SAINT PAUL
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State | MN
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Zip | 55104-2801
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Country | US
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Telephone | 763-200-9237
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Fax | 763-400-4899
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Provider Business Mailing Address
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Address Line | 1821 UNIVERSITY AVE W STE 126
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City | SAINT PAUL
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State | MN
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Zip | 55104-2801
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Country | US
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Telephone | 763-200-9237
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Fax | 763-400-4899
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Authorized Official
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Title or Position | CHIEF EXERCUTIVE OFFICER
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Name | ABDALLAH S KITWARA
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Credential | CEO
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Telephone | 202-725-0772
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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 | 000
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License Number State | MN
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