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General NPI Number Information
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NPI Number | 1104997824
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL NURSES, INC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 1333 HOWE AVE SUITE 208
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City | SACRAMENTO
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State | CA
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Zip | 95825-3362
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Country | US
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Telephone | 916-929-9041
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Fax | 916-929-9043
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Provider Business Mailing Address
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Address Line | 1333 HOWE AVE SUITE 208
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City | SACRAMENTO
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State | CA
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Zip | 95825-3362
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Country | US
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Telephone | 916-929-9041
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Fax | 916-929-9043
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. THOMAS L LAWSON
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Credential |
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Telephone | 916-929-9041
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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 | 550000266
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License Number State | CA
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