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NPI 1619234259

NPI 1619234259 : CATHERINE J GRETZINGER RN, BSN : RUSH, NY

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General NPI Number Information
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    NPI Number           |    1619234259
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE J GRETZINGER RN, BSN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/20/2012
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    Last Update Date     |    04/20/2012
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Provider Practice Location Address
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    Address Line         |    3 NELSON PKWY 
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    City                 |    RUSH
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    State                |    NY
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    Zip                  |    14543-9706
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    Country              |    US
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    Telephone            |    585-533-2462
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3 NELSON PKWY 
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    City                 |    RUSH
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    State                |    NY
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    Zip                  |    14543-9706
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    Country              |    US
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    Telephone            |    585-533-2462
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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        |    163WC0400X
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    Taxonomy Name        |    Case Management Registered Nurse
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    License Number       |    373220-1
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    163WC1500X
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    Taxonomy Name        |    Community Health Registered Nurse
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    License Number       |    373220-1
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    163WG0000X
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    Taxonomy Name        |    General Practice Registered Nurse
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    License Number       |    373220-1
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    163WH0200X
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    Taxonomy Name        |    Home Health Registered Nurse
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    License Number       |    373220-1
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    License Number State |    NY
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Taxonomy #5
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    Taxonomy Code        |    163WH1000X
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    Taxonomy Name        |    Hospice Registered Nurse
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    License Number       |    373220-1
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    License Number State |    NY
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Taxonomy #6
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    Taxonomy Code        |    163WS0200X
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    Taxonomy Name        |    School Registered Nurse
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    License Number       |    373220-1
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    License Number State |    NY
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