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General NPI Number Information
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NPI Number | 1265972566
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Entity Type | Organization
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Legal Business Name | THE HERITAGE VISITING NURSE SERVICE, INC
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 6311 ATRIUM DR STE 203
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-4143
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Country | US
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Telephone | 941-203-3836
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Fax |
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Provider Business Mailing Address
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Address Line | 408 S MAIN ST
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City | PLYMOUTH
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State | MI
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Zip | 48170-1709
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Country | US
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Telephone | 248-358-1186
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Fax | 888-717-2646
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATTHEW SAAGMAN
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Credential |
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Telephone | 734-228-8388
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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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