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General NPI Number Information
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NPI Number | 1245784974
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Entity Type | Organization
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Legal Business Name | KATHERINE J STRUEBING
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 1983 DAVIS RD
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City | WEST FALLS
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State | NY
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Zip | 14170-9631
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Country | US
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Telephone | 716-713-7126
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Fax |
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Provider Business Mailing Address
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Address Line | 1983 DAVIS RD
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City | WEST FALLS
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State | NY
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Zip | 14170-9631
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Country | US
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Telephone | 716-713-7126
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MS. KATHERINE JEAN STRUEBING
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Credential | RN, BSN
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Telephone | 716-713-7126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 589216
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License Number State | NY
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