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General NPI Number Information
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NPI Number | 1053543561
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Entity Type | Individual
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Provider Name | LAYLA JO KUEK RN
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Gender | Female
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 7893 MARGARETTA RD
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City | SODUS POINT
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State | NY
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Zip | 14555-9625
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Country | US
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Telephone | 585-734-7923
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Fax | 585-282-0882
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Provider Business Mailing Address
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Address Line | 7893 MARGARETTA RD
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City | SODUS POINT
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State | NY
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Zip | 14555-9625
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Country | US
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Telephone | 585-734-7923
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 473962-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 310069
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License Number State | NY
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