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General NPI Number Information
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NPI Number | 1992878599
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Entity Type | Organization
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Legal Business Name | VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 LAKE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2629
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Country | US
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Telephone | 718-720-2245
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Fax | 718-442-5024
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Provider Business Mailing Address
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Address Line | 400 LAKE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2629
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Country | US
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Telephone | 718-720-2245
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Fax | 718-442-5024
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. CALVIN M SPRUNG
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Credential | CPA
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Telephone | 718-816-3410
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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 | 7004901L
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License Number State | NY
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