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General NPI Number Information
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NPI Number | 1477363281
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Entity Type | Individual
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Provider Name | KARA ANTONUCCIO BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 201 NEW ST
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1196
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Country | US
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Telephone | 302-378-5030
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Fax | 302-378-5080
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Provider Business Mailing Address
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Address Line | 66 SPRING CREEK DR
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City | TOWNSEND
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State | DE
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Zip | 19734-9054
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Country | US
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Telephone | 732-682-3974
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Fax |
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | LI-0050004
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License Number State | DE
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