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General NPI Number Information
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NPI Number | 1295820017
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Entity Type | Organization
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Legal Business Name | VISITING NURSE SERVICE AND AFFILIATES
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 470 E MILLTOWN RD
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City | WOOSTER
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State | OH
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Zip | 44691-1250
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Country | US
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Telephone | 330-345-1700
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Fax | 330-345-1703
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Provider Business Mailing Address
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Address Line | 470 E MILLTOWN RD
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City | WOOSTER
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State | OH
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Zip | 44691-1250
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Country | US
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Telephone | 330-345-1700
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Fax | 330-345-1703
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JERRY BAUMAN
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Credential |
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Telephone | 330-861-6165
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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 | 810120
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License Number State | OH
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