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General NPI Number Information
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NPI Number | 1356629042
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Entity Type | Organization
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Legal Business Name | VCP HOME HEALTH CARE - INDIANA, INC.
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Dates
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Enumeration Date | 07/28/2011
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Last Update Date | 07/28/2011
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Provider Practice Location Address
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Address Line | 929 STONEBRIDGE DR
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City | SCHERERVILLE
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State | IN
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Zip | 46375-1490
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Country | US
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Telephone | 815-531-7935
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Fax |
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Provider Business Mailing Address
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Address Line | 929 STONEBRIDGE DR
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City | SCHERERVILLE
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State | IN
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Zip | 46375-1490
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Country | US
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Telephone | 815-531-7935
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | MISS CARMELITA VALERA
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Credential | BSN RN
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Telephone | 815-531-7935
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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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