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General NPI Number Information
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NPI Number | 1447257928
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Entity Type | Organization
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Legal Business Name | VISITING NURSE SERVICE OF ITHACA AND TOMPKINS COUNTY INC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 138 CECIL MALONE DR
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City | ITHACA
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State | NY
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Zip | 14850-5124
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Country | US
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Telephone | 607-273-0466
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Fax | 607-277-1494
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Provider Business Mailing Address
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Address Line | 138 CECIL MALONE DR
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City | ITHACA
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State | NY
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Zip | 14850-5124
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Country | US
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Telephone | 607-273-0466
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Fax | 607-277-1494
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SUE ELLEN STUART
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Credential | R.N.
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Telephone | 607-273-0466
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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 | 5401601
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License Number State | NY
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