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General NPI Number Information
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NPI Number | 1366222473
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Entity Type | Organization
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Legal Business Name | NURSE PRO LLC
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 13293 DARNELL AVE
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City | PORT CHARLOTTE
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State | FL
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Zip | 33981-6125
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Country | US
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Telephone | 773-844-3346
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Fax |
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Provider Business Mailing Address
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Address Line | 13293 DARNELL AVE
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City | PORT CHARLOTTE
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State | FL
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Zip | 33981-6125
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Country | US
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Telephone | 773-844-3346
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | ANGELA M MCPHILLIPS
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Credential | DNP, RN
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Telephone | 773-844-3346
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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