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General NPI Number Information
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NPI Number | 1215276357
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Entity Type | Organization
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Legal Business Name | VISION OF FAITH OUTRREACH INC
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Dates
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Enumeration Date | 02/09/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 582 W MAIN ST SUITE 101
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City | NEW BRITAIN
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State | CT
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Zip | 06053-3920
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Country | US
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Telephone | 877-885-8516
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Fax | 860-224-0675
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Provider Business Mailing Address
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Address Line | 582 W MAIN ST SUITE 101
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City | NEW BRITAIN
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State | CT
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Zip | 06053-3920
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Country | US
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Telephone | 877-885-8516
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Fax | 860-224-0675
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ROSLYN Y. CROSSDALE
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Credential |
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Telephone | 877-885-8516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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