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General NPI Number Information
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NPI Number | 1023346764
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Entity Type | Organization
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Legal Business Name | NURSESPRING OF PENSACOLA, LLC
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 5500 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32503-2064
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Country | US
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Telephone | 850-479-8620
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Fax | 850-479-8668
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Provider Business Mailing Address
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Address Line | 9120 MIDLOTHIAN TNPK
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City | RICHMOND
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State | VA
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Zip | 23235
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Country | US
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Telephone | 804-560-9400
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Fax | 804-272-8833
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. BRYAN DAVID KRAUSE
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Credential |
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Telephone | 804-560-9400
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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 | 299992233
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License Number State | FL
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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