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General NPI Number Information
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NPI Number | 1295348555
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Entity Type | Organization
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Legal Business Name | VICTORY NURSING SERVICES INC.
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Dates
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Enumeration Date | 08/26/2020
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 850 HIGH ST STE 3
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City | HOLYOKE
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State | MA
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Zip | 01040-3723
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Country | US
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Telephone | 413-315-3593
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Fax | 413-315-3088
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Provider Business Mailing Address
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Address Line | PO BOX 545
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City | HOLYOKE
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State | MA
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Zip | 01041-0545
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Country | US
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Telephone | 413-315-3593
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Fax | 413-315-3088
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JACOB WAAH
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Credential |
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Telephone | 413-315-3593
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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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