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General NPI Number Information
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NPI Number | 1235297961
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Entity Type | Organization
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Legal Business Name | VMT HOME HEALTH AGENCY
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 4201 CONNECTICUT AVE NW SUITE 200
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City | WASHINGTON
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State | DC
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Zip | 20008-1158
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Country | US
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Telephone | 202-282-3104
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Fax | 202-282-3109
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Provider Business Mailing Address
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Address Line | 4201 CONNECTICUT AVE NW SUITE 200
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City | WASHINGTON
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State | DC
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Zip | 20008-1158
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Country | US
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Telephone | 202-282-3104
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Fax | 202-282-3109
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | KEVIN ARCHER
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Credential | M.B.A.
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Telephone | 202-282-3104
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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 |
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License Number State |
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