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General NPI Number Information
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NPI Number | 1013142835
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Entity Type | Organization
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Legal Business Name | CERTIFIED PERIOPERATIVE SERVICES LLC
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | 2100 CYPRESS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6508
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Country | US
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Telephone | 215-605-1748
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Fax |
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Provider Business Mailing Address
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Address Line | 211 SOUTH ST # 230
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City | PHILADELPHIA
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State | PA
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Zip | 19147-2305
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Country | US
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Telephone | 215-605-1748
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VESNA MILICA HESS
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Credential | CRNP,CRNFA
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Telephone | 215-605-1748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 00000
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 00000
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0000000
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License Number State | PA
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