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NPI 1619599891

NPI 1619599891 : TODAYS OSTOMY SOLUTIONS : KUNKLETOWN, PA

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General NPI Number Information
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    NPI Number           |    1619599891
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    Entity Type          |    Organization 
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    Legal Business Name  |    TODAYS OSTOMY SOLUTIONS 
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Dates
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    Enumeration Date     |    05/11/2020
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    Last Update Date     |    05/11/2020
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Provider Practice Location Address
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    Address Line         |    271 TURKEY RIDGE DR 
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    City                 |    KUNKLETOWN
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    State                |    PA
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    Zip                  |    18058-8163
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    Country              |    US
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    Telephone            |    570-977-6257
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    271 TURKEY RIDGE DR 
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    City                 |    KUNKLETOWN
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    State                |    PA
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    Zip                  |    18058-8163
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    Country              |    US
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    Telephone            |    570-977-6257
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     GEANGINA ANN DAY 
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    Credential           |    BSN, RN, CWON
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    Telephone            |    570-977-6257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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