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General NPI Number Information
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NPI Number | 1598628828
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Entity Type | Organization
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Legal Business Name | NINIE SPECIALITY SERVICES LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 819 ADELINE AVE
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-6570
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Country | US
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Telephone | 239-645-5406
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Fax |
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Provider Business Mailing Address
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Address Line | 819 ADELINE AVE
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-6570
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Country | US
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Telephone | 239-645-5406
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NIRVA SAINT-HILAIRE
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Credential | LPN
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Telephone | 239-645-5406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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