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General NPI Number Information
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NPI Number | 1295644011
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Entity Type | Organization
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Legal Business Name | STAT TRIAGE LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 406 COTTONWOOD PL
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City | BOCA RATON
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State | FL
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Zip | 33431-8223
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Country | US
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Telephone | 904-914-2803
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Fax |
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Provider Business Mailing Address
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Address Line | 1489 W PALMETTO PARK RD STE 500
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City | BOCA RATON
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State | FL
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Zip | 33486-3326
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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 OWNER FOUNDER TRIAGE NURSE
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Name | MATEUSZ KIRAGA
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Credential | RN BSN
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Telephone | 561-464-5526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number |
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License Number State |
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