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General NPI Number Information
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NPI Number | 1154032951
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Entity Type | Individual
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Provider Name | NADINE DESAUGUSTE JEAN CHARLES
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Gender | Female
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 4044 BARONSMERE CT
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City | DAYTON
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State | OH
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Zip | 45415-1401
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Country | US
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Telephone | 239-465-6748
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Fax |
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Provider Business Mailing Address
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Address Line | 4044 BARONSMERE CT
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City | DAYTON
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State | OH
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Zip | 45415-1401
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Country | US
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Telephone | 239-465-6748
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 320997640118
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License Number State | OH
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