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General NPI Number Information
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NPI Number | 1548251804
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Entity Type | Individual
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Provider Name | MINEA ANN READYE RN
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Gender | Female
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | USAG-J UNIT 45013 BOX 2088
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City | APO
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State | AP
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Zip | 96338
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Country | JP
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Telephone | 0011813117634249
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Fax |
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Provider Business Mailing Address
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Address Line | USAG-J UNIT 45013 BOX 2088
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City | APO
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State | AP
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Zip | 96338
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Country | JP
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Telephone | 0011813117634249
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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 | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 094738
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License Number State | MO
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