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General NPI Number Information
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NPI Number | 1669265476
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Entity Type | Individual
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Provider Name | CECELIA CATHERINE PUESCHEL RN
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Gender | Female
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Dates
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Enumeration Date | 05/24/2025
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 300 SINGLETON RIDGE RD
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City | CONWAY
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State | SC
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Zip | 29526-9142
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Country | US
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Telephone | 843-347-8010
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Fax |
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Provider Business Mailing Address
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Address Line | 1046 DINGER DR
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-5588
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Country | US
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Telephone | 704-641-1761
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 245869
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License Number State | SC
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