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General NPI Number Information
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NPI Number | 1255005054
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Entity Type | Organization
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Legal Business Name | ARISE HEALTHCARE NURSE REGISTRY, INC.
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 2500 QUANTUM LAKES DR STE 203
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8323
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Country | US
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Telephone | 561-853-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 W OAKLAND PARK BLVD STE 225D
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1388
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN IRVING
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Credential |
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Telephone | 754-200-5665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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