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General NPI Number Information
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NPI Number | 1346243987
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Entity Type | Individual
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Provider Name | STACEY LUISE TURSI N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 200 BELLE TERRE RD DEPT. OF NURSING EDUCATION
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City | PORT JEFFERSON
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State | NY
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Zip | 11777
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Country | US
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Telephone | 631-474-6971
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Fax | 631-476-7710
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Provider Business Mailing Address
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Address Line | 200 BELLE TERRE RD
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City | PORT JEFFERSON
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State | NY
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Zip | 11777
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Country | US
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Telephone | 631-474-6971
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Fax | 631-476-7710
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F3011391
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F301139
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License Number State | NY
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