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General NPI Number Information
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NPI Number | 1790025120
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Entity Type | Organization
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Legal Business Name | VNA HOMECARE, INC.
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Dates
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Enumeration Date | 02/21/2013
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 720 W MAIN ST
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City | BELLEVILLE
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State | IL
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Zip | 62220-1538
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Country | US
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Telephone | 618-277-9360
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Fax |
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Provider Business Mailing Address
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Address Line | 720 W MAIN ST
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City | BELLEVILLE
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State | IL
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Zip | 62220-1538
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CORPORATE BILLING & COL
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Name | MRS. ROBINE A CARRON
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Credential |
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Telephone | 314-595-6809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 2002244
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License Number State | IL
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