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General NPI Number Information
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NPI Number | 1336159037
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Entity Type | Organization
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Legal Business Name | VNA NORTHWEST, INC.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 607 BANTAM RD UNIT F
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City | BANTAM
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State | CT
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Zip | 06750-1601
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Country | US
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Telephone | 860-567-6000
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Fax | 860-567-6012
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Provider Business Mailing Address
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Address Line | 607 BANTAM RD P.O. BOX 1867
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City | BANTAM
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State | CT
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Zip | 06750-1601
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Country | US
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Telephone | 860-567-6000
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Fax | 860-567-6012
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NANCY DEMING
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Credential |
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Telephone | 860-567-6000
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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 | C805010
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License Number State | CT
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