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General NPI Number Information
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NPI Number | 1144250515
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Entity Type | Organization
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Legal Business Name | VISITING NURSE ASSOCIATION OF PORTER COUNTY, INDIANA, INC.
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 2401 VALLEY DR
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City | VALPARAISO
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State | IN
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Zip | 46383-2520
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Country | US
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Telephone | 219-462-5195
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Fax | 219-462-6020
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Provider Business Mailing Address
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Address Line | 2401 VALLEY DR
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City | VALPARAISO
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State | IN
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Zip | 46383-2520
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Country | US
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Telephone | 219-462-5195
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Fax | 219-462-6020
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MRS. KATHLEEN HOLYCROSS
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Credential |
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Telephone | 219-531-8053
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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 | 06-005259-1
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License Number State | IN
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