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General NPI Number Information
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NPI Number | 1174219018
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Entity Type | Individual
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Provider Name | GESSIE ELNA VERTUS-BRUCE RN P.C., RN-BSN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 10/14/2023
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Provider Practice Location Address
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Address Line | 84 FOREST AVE
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City | WEST BABYLON
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State | NY
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Zip | 11704-5155
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Country | US
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Telephone | 239-961-5247
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Fax |
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Provider Business Mailing Address
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Address Line | 84 FOREST AVE
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City | WEST BABYLON
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State | NY
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Zip | 11704-5155
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Country | US
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Telephone | 239-961-5247
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 717868
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 717868
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 717868
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License Number State | NY
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