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General NPI Number Information
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NPI Number | 1659010007
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Entity Type | Organization
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Legal Business Name | QUALITY NURSE REGISTRY LLC
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1680 SW BAYSHORE BLVD STE 119
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City | PORT ST LUCIE
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State | FL
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Zip | 34984-3519
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Country | US
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Telephone | 772-446-0957
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Fax | 772-466-0958
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Provider Business Mailing Address
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Address Line | 1680 SW BAYSHORE BLVD STE 119
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City | PORT ST LUCIE
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State | FL
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Zip | 34984-3519
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Country | US
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Telephone | 772-446-0957
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Fax | 772-466-0958
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHELDAY JULES
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Credential |
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Telephone | 772-446-0957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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