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NPI 1346299278

NPI 1346299278 : VISITING NURSE ASSOCIATION : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1346299278
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    Entity Type          |    Organization 
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    Legal Business Name  |    VISITING NURSE ASSOCIATION 
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Dates
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    Enumeration Date     |    05/08/2006
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    Last Update Date     |    09/20/2007
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Provider Practice Location Address
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    Address Line         |    222 SALEM AVE SUITE 2A
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45406-5805
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    Country              |    US
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    Telephone            |    937-222-3381
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    Fax                  |    937-222-6341
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Provider Business Mailing Address
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    Address Line         |    222 SALEM AVE SUITE 2A
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45406-5805
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    Country              |    US
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    Telephone            |    937-222-3381
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    Fax                  |    937-222-6341
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. CHARLES EDWARD KOMP JR.
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    Credential           |    
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    Telephone            |    937-222-3381
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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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