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General NPI Number Information
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NPI Number | 1588442230
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Entity Type | Individual
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Provider Name | NADINE PRICE
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Gender | Female
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 930 FOREST ST NE
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City | PALM BAY
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State | FL
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Zip | 32907-2058
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Country | US
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Telephone | 386-402-2997
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Fax |
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Provider Business Mailing Address
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Address Line | 930 FOREST ST NE
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City | PALM BAY
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State | FL
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Zip | 32907-2058
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Country | US
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Telephone | 386-402-2997
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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