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General NPI Number Information
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NPI Number | 1023207693
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Entity Type | Organization
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Legal Business Name | VISITING NURSE SERVICE INC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 4701 N KEYSTONE AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-1554
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Country | US
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Telephone | 317-722-8200
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Fax | 317-722-8219
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Provider Business Mailing Address
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Address Line | 4701 N KEYSTONE AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-1554
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Country | US
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Telephone | 317-722-8200
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Fax | 317-722-8219
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Authorized Official
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Title or Position | CHEIF FINANCIAL OFFICER
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Name | MR. MICHAEL PUSKARICH
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Credential | CFO
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Telephone | 317-722-8299
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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 | IN
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