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General NPI Number Information
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NPI Number | 1841794237
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Entity Type | Organization
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Legal Business Name | VSH HEALTH LLC
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 19710 GOVERNORS HWY STE 1
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City | FLOSSMOOR
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State | IL
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Zip | 60422-2081
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Country | US
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Telephone | 708-888-2231
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Fax |
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Provider Business Mailing Address
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Address Line | 19710 GOVERNORS HWY STE 1
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City | FLOSSMOOR
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State | IL
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Zip | 60422-2081
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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 | OWNER
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Name | VELISCIA HODGES
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Credential | APN, FNP-C
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Telephone | 708-785-0178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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