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General NPI Number Information
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NPI Number | 1609104132
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Entity Type | Organization
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Legal Business Name | ABC NURSE REGISTRY, INC.
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 5301 MCKINLEY ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-4636
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Country | US
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Telephone | 954-322-9400
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Fax | 954-981-9261
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Provider Business Mailing Address
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Address Line | 5301 MCKINLEY ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-4636
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Country | US
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Telephone | 954-322-9400
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Fax | 954-981-9261
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. PEGGY B HAMMOND
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Credential | RN, MSN
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Telephone | 954-322-9400
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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 | 30211102
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License Number State | FL
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