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General NPI Number Information
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NPI Number | 1225518749
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Entity Type | Organization
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Legal Business Name | NURSE TO GO, LLC.
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 540 PARKER DR
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City | BYRAM
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State | MS
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Zip | 39272-4501
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Country | US
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Telephone | 601-906-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 540 PARKER DR
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City | BYRAM
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State | MS
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Zip | 39272-4501
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Country | US
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Telephone | 601-906-9680
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FLORA DENISE GRAY
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Credential | RN
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Telephone | 601-906-9680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 224900000X
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Taxonomy Name | Mastectomy Fitter
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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