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General NPI Number Information
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NPI Number | 1609285972
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Entity Type | Organization
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Legal Business Name | ANNMARIE KREISCHER
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 121 RUMFORD RD
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City | KINGS PARK
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State | NY
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Zip | 11754-3905
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Country | US
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Telephone | 516-639-2844
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Fax |
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Provider Business Mailing Address
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Address Line | 121 RUMFORD RD
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City | KINGS PARK
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State | NY
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Zip | 11754-3905
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Country | US
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Telephone | 631-656-5368
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Fax |
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE
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Name | MS. ANNMARIE KREISCHER
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Credential | LPN
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Telephone | 516-639-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 277284
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License Number State | NY
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