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NPI 1902142045

NPI 1902142045 : VISITING NURSE ASSOCIATION OF SAGINAW : FRANKENMUTH, MI

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General NPI Number Information
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    NPI Number           |    1902142045
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    Entity Type          |    Organization 
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    Legal Business Name  |    VISITING NURSE ASSOCIATION OF SAGINAW 
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Dates
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    Enumeration Date     |    12/18/2012
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    Last Update Date     |    12/18/2012
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Provider Practice Location Address
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    Address Line         |    600 N MAIN ST SUITE 140
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    City                 |    FRANKENMUTH
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    State                |    MI
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    Zip                  |    48734-1152
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    Country              |    US
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    Telephone            |    989-652-1506
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    Fax                  |    989-652-1582
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Provider Business Mailing Address
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    Address Line         |    500 S HAMILTON ST 
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    City                 |    SAGINAW
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    State                |    MI
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    Zip                  |    48602-1511
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    Country              |    US
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    Telephone            |    989-799-6020
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    Fax                  |    989-799-6024
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MRS. SUSAN J SCHULTZ 
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    Credential           |    B.S.N., M.S.
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    Telephone            |    989-799-6020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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