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General NPI Number Information
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NPI Number | 1629311683
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Entity Type | Organization
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Legal Business Name | VISITING NURSE ASSOCIATION OF ALBANY HOME CARE CORPORATION
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 28 COLVIN AVE
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City | ALBANY
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State | NY
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Zip | 12206-1101
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Country | US
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Telephone | 518-694-9907
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Fax |
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Provider Business Mailing Address
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Address Line | 28 COLVIN AVE
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City | ALBANY
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State | NY
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Zip | 12206-1101
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Country | US
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Telephone | 518-694-9907
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. SAMANTHA DICICCO
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Credential | RN, MBA-HCM, BSN, BA
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Telephone | 203-627-4170
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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 | 298963
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License Number State | NY
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