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General NPI Number Information
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NPI Number | 1770500324
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Entity Type | Organization
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Legal Business Name | VANTAGE HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 1129 CORPORATION PKWY SUITE 141
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City | RALEIGH
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State | NC
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Zip | 27610-1381
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Country | US
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Telephone | 919-212-9998
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Fax | 919-859-8056
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Provider Business Mailing Address
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Address Line | 117 W CAMDEN FOREST DR
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City | CARY
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State | NC
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Zip | 27518-9047
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Country | US
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Telephone | 919-212-9998
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Fax | 919-859-8056
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CHIB ANEN
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Credential |
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Telephone | 919-812-8677
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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 | HC2225
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License Number State | NC
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