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General NPI Number Information
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NPI Number | 1548625833
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Entity Type | Organization
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Legal Business Name | RESILIENT RNFA, LLC
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 117 FROST LN
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City | NEWTOWN
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State | PA
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Zip | 18940-2010
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Country | US
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Telephone | 215-962-9924
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Fax | 215-860-3130
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Provider Business Mailing Address
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Address Line | 117 FROST LN
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City | NEWTOWN
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State | PA
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Zip | 18940-2010
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Country | US
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Telephone | 215-962-9924
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Fax | 215-860-3130
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Authorized Official
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Title or Position | OWNER
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Name | BEVERLY ANNE COCOZZA
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Credential | RNFA
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Telephone | 215-962-9924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 26NR17086200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 26NR17086200
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License Number State | NJ
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