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General NPI Number Information
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NPI Number | 1033507520
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Entity Type | Organization
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Legal Business Name | SUPERIOR NURSE PARTNERS LLC
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 12251 TAFT ST SUITE 302
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-1901
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Country | US
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Telephone | 954-239-8548
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Fax | 954-239-8501
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Provider Business Mailing Address
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Address Line | 8362 PINES BLVD SUITE 272
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6600
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Country | US
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Telephone | 954-239-8548
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JOAN S QUINLAND
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Credential |
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Telephone | 954-239-8548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 30211746
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 30211746
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License Number State | FL
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