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General NPI Number Information
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NPI Number | 1609045046
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Entity Type | Individual
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Provider Name | EDDY S JEAN-BAPTISTE NURSING CARE,RN
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Gender | Male
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 05/17/2014
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Provider Practice Location Address
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Address Line | 19 KITTY HAWK DR
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City | PITTSFORD
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State | NY
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Zip | 14534-1620
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Country | US
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Telephone | 585-381-7852
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Fax |
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Provider Business Mailing Address
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Address Line | 19 KITTY HAWK DR
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City | PITTSFORD
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State | NY
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Zip | 14534-1620
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Country | US
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Telephone | 585-381-7852
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 285771-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number | 641225
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License Number State | NY
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