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General NPI Number Information
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NPI Number | 1093267825
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Entity Type | Organization
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Legal Business Name | NIGHTINGALE HEALTH CARE LLC
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 151 MARY ESTHER BLVD SUITE 408
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City | MARY ESTHER
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State | FL
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Zip | 32569-1972
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Country | US
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Telephone | 850-533-6244
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Fax | 850-757-0072
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Provider Business Mailing Address
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Address Line | 151 MARY ESTHER BLVD SUITE 408
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City | MARY ESTHER
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State | FL
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Zip | 32569-1972
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Country | US
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Telephone | 850-533-6244
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Fax | 850-757-0072
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Authorized Official
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Title or Position | OWNER
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Name | MS. KATHY A WILSON
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Credential | ARNP
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Telephone | 850-533-6244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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