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General NPI Number Information
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NPI Number | 1639421985
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Entity Type | Organization
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Legal Business Name | VIZION ONE HOME HEALTH SERVICES
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Dates
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Enumeration Date | 10/11/2012
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Last Update Date | 10/11/2012
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Provider Practice Location Address
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Address Line | 4957 G ST SE APT 5D
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City | WASHINGTON
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State | DC
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Zip | 20019-5983
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Country | US
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Telephone | 202-200-3252
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Fax |
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Provider Business Mailing Address
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Address Line | 4957 G ST SE APT 5D
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City | WASHINGTON
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State | DC
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Zip | 20019-5983
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Country | US
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Telephone | 202-200-3252
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Fax |
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Authorized Official
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Title or Position | HOMW HEALTH
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Name | MR. DAVON JERRELL WASHINGTON
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Credential | HHA
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Telephone | 202-200-3252
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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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