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General NPI Number Information
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NPI Number | 1851689509
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Entity Type | Organization
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Legal Business Name | VISIONS AMERICA COMMUNITY DEVELOPMENT CORP.
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 401 WASHINGTON ST 403 WASHINGTON ST.
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City | CAMBRIDGE
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State | MD
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Zip | 21613-2809
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Country | US
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Telephone | 410-901-9131
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Fax | 410-228-0706
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Provider Business Mailing Address
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Address Line | P.O. BOX 1334 401 WASHINGTON, ST
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City | CAMBRIDGE
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State | MD
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Zip | 21613
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Country | US
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Telephone | 410-901-9131
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Fax | 410-228-0706
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MRS. SHARON JOHNSON WILSON
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Credential |
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Telephone | 410-901-9131
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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 | R2890
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License Number State | MD
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