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General NPI Number Information
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NPI Number | 1689935801
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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 | 06/05/2012
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Last Update Date | 06/05/2012
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Provider Practice Location Address
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Address Line | 400 LAKE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2629
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Country | US
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Telephone | 718-816-3551
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Fax | 718-816-3444
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Provider Business Mailing Address
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Address Line | 400 LAKE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2629
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Country | US
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Telephone | 718-816-3551
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Fax | 718-816-3444
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. JOANNE KNORR
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Credential |
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Telephone | 718-720-2245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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