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General NPI Number Information
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NPI Number | 1134104573
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Entity Type | Organization
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Legal Business Name | VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTY INC
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 1650 CHAMPLIN AVE
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City | UTICA
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State | NY
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Zip | 13502-4801
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Country | US
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Telephone | 315-624-8900
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Fax | 315-735-6027
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Provider Business Mailing Address
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Address Line | 1650 CHAMPLIN AVE
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City | UTICA
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State | NY
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Zip | 13502-4801
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Country | US
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Telephone | 315-624-8900
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Fax | 315-735-6027
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. KIMBERLY K. ELLIS
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Credential | RN, BPS LNHA
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Telephone | 315-624-8900
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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 | 3202602
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License Number State | NY
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