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General NPI Number Information
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NPI Number | 1023320330
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Entity Type | Organization
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Legal Business Name | VSN PROFESSIONAL HEALTHCARE
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 10875 MAIN STREET STE. 203
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City | FAIRFAX
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State | VA
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Zip | 22030-1677
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Country | US
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Telephone | 703-642-1533
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Fax | 703-642-1710
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Provider Business Mailing Address
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Address Line | 10875 MAIN ST SUITE 203
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City | FAIRFAX
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State | VA
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Zip | 22030-4732
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Country | US
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Telephone | 703-642-1533
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Fax | 703-642-1710
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | FRANCESS ZAINAB KAMARA
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Credential | LPN
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Telephone | 571-432-0467
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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 | HCO-10579
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License Number State | VA
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