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General NPI Number Information
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NPI Number | 1154437879
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Entity Type | Organization
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Legal Business Name | MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC.
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 6404 IVY LN STE 110
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City | GREENBELT
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State | MD
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Zip | 20770-1416
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Country | US
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Telephone | 240-965-2900
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Fax | 240-965-2919
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Provider Business Mailing Address
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Address Line | 6404 IVY LN STE 110
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City | GREENBELT
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State | MD
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Zip | 20770-1416
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Country | US
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Telephone | 240-965-2900
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Fax | 240-965-2919
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TRACI K ANDERSON-ARAUJO
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Credential |
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Telephone | 443-812-8131
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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 | HH7150
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License Number State | MD
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