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General NPI Number Information
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NPI Number | 1407560840
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Entity Type | Organization
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Legal Business Name | GOOD NURSE HOME CARE LLC
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | CARRETERA 6618 KM 0.9 BARRIO MOROVIS SUR SECTOR VEREDA
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City | MOROVIS
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State | PR
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Zip | 00687
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Country | US
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Telephone | 787-201-3130
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 18531
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City | MOROVIS
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State | PR
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Zip | 00687-7760
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Country | US
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Telephone | 787-201-3130
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Fax |
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Authorized Official
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Title or Position | NURSE RN BSN
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Name | MR. JESUS RAFAEL RIVERA VEGA SR.
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Credential | BSN
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Telephone | 787-201-3130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WX1500X
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Taxonomy Name | Ostomy Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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