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NPI 1972553063

NPI 1972553063 : VISITING NURSE ASSOCIATION OF CLEVELAND : BROOKLYN HEIGHTS, OH

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General NPI Number Information
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    NPI Number           |    1972553063
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    Entity Type          |    Organization 
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    Legal Business Name  |    VISITING NURSE ASSOCIATION OF CLEVELAND 
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Dates
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    Enumeration Date     |    05/11/2006
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    Last Update Date     |    03/11/2019
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Provider Practice Location Address
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    Address Line         |    925 KEYNOTE CIR STE 300 
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    City                 |    BROOKLYN HEIGHTS
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    State                |    OH
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    Zip                  |    44131-1869
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    Country              |    US
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    Telephone            |    216-694-4232
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    Fax                  |    216-694-4162
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Provider Business Mailing Address
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    Address Line         |    925 KEYNOTE CIR STE 300 
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    City                 |    BROOKLYN HEIGHTS
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    State                |    OH
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    Zip                  |    44131-1869
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    Country              |    US
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    Telephone            |    216-694-4232
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    Fax                  |    216-694-4162
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. LISA  KRISTOSIK 
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    Credential           |    MSN, RN
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    Telephone            |    216-902-7902
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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       |    
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    License Number State |    
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