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General NPI Number Information
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NPI Number | 1497174361
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Entity Type | Organization
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Legal Business Name | NIGHTINGALE NURSING SOLUTIONS, LLC.
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 300 ANDOVER ST SUITE 243
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City | PEABODY
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State | MA
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Zip | 01960-1526
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Country | US
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Telephone | 978-880-5318
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Fax |
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Provider Business Mailing Address
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Address Line | 300 ANDOVER ST SUITE 243
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City | PEABODY
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State | MA
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Zip | 01960-1526
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Country | US
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Telephone | 978-880-5318
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Fax |
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Authorized Official
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Title or Position | OWNER, NP
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Name | MS. SONYA GARBA
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Credential | NP
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Telephone | 978-880-5318
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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 | RN275240
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License Number State | MA
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