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General NPI Number Information
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NPI Number | 1548738008
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Entity Type | Individual
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Provider Name | TERESITA JUAN HINTERBERGER RN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2018
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Last Update Date | 11/02/2018
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Provider Practice Location Address
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Address Line | 7305 N MILITARY TRL
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City | RIVIERA BEACH
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State | FL
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Zip | 33410-7417
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Country | US
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Telephone | 561-422-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 COPLEY PL
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6717
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Country | US
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Telephone | 561-706-3904
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Fax | 561-498-2857
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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 | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | RN1900252
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License Number State | FL
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