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General NPI Number Information
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NPI Number | 1134438252
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Entity Type | Individual
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Provider Name | JANICE MARY KULISEK CNS, APRN-BC, MS
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Gender | Female
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 410 W 10TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43210
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Country | US
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Telephone | 614-937-0796
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Fax | 614-293-6100
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Provider Business Mailing Address
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Address Line | 410 W 10TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43210
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Country | US
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Telephone | 614-937-0796
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Fax | 614-293-6100
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | NS08011
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License Number State | OH
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