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General NPI Number Information
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NPI Number | 1881978815
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Entity Type | Organization
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Legal Business Name | VIZION ONE, INC.
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 5400 E CENTRAL AVE STE 110
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City | WICHITA
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State | KS
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Zip | 67208-4100
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Country | US
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Telephone | 316-558-8221
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Fax | 316-558-8227
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Provider Business Mailing Address
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Address Line | 5400 E CENTRAL AVE STE 110
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City | WICHITA
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State | KS
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Zip | 67208-4100
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Country | US
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Telephone | 316-558-8221
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Fax | 316-558-8227
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Authorized Official
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Title or Position | CEO
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Name | MR. ABDALLAH SULEIMAN KITWARA
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Credential |
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Telephone | 202-545-0211
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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 | A087148
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License Number State | KS
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