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General NPI Number Information
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NPI Number | 1083951230
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Entity Type | Organization
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Legal Business Name | VNA HOMECARE, INC.
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Dates
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Enumeration Date | 01/08/2013
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 500 W PINE ST
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City | FARMINGTON
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State | MO
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Zip | 63640-1426
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Country | US
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Telephone | 573-747-1177
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Fax |
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Provider Business Mailing Address
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Address Line | 500 W PINE ST
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City | FARMINGTON
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State | MO
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Zip | 63640-1426
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Country | US
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Telephone | 573-747-1177
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Fax |
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Authorized Official
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Title or Position | DIRECTOR FOR BILLING AND COLLECTION
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Name | MRS. ROBINE A CARRON
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Credential |
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Telephone | 314-595-6809
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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 | 135-2HO
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License Number State | MO
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