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General NPI Number Information
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NPI Number | 1326339466
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Entity Type | Organization
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Legal Business Name | VIZION ONE, INC
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Dates
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Enumeration Date | 04/24/2011
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Last Update Date | 04/24/2011
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Provider Practice Location Address
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Address Line | 8400 BUSTLETON AVE STE 114
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City | PHILADELPHIA
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State | PA
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Zip | 19152-1918
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Country | US
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Telephone | 215-665-5705
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Fax | 240-751-4156
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Provider Business Mailing Address
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Address Line | 8400 BUSTLETON AVE STE 114
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City | PHILADELPHIA
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State | PA
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Zip | 19152-1918
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Country | US
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Telephone | 215-665-5705
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Fax | 240-751-4156
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Authorized Official
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Title or Position | CEO
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Name | ABDALLAH SULEIMAN KITWARA
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Credential | MBA
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Telephone | 202-725-0772
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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 | 01111
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License Number State | PA
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