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General NPI Number Information
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NPI Number | 1144668369
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Entity Type | Individual
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Provider Name | NANCY NUSBAUM RN
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Gender | Female
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 1412 17TH ST SUITE 310
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5211
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Country | US
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Telephone | 661-335-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 17TH ST SUITE 310
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5211
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Country | US
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Telephone | 661-335-7700
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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 | 271568
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 271568
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 271568
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 271568
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 271568
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 271568
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 271568
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License Number State | CA
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