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General NPI Number Information
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NPI Number | 1669838538
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Entity Type | Organization
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Legal Business Name | TELENURSE NETWORK, LLC
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 01/28/2017
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Provider Practice Location Address
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Address Line | 845 6TH AVE SW
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City | LARGO
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State | FL
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Zip | 33770-3161
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Country | US
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Telephone | 201-681-5422
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Fax |
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Provider Business Mailing Address
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Address Line | 845 6TH AVE SW
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City | LARGO
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State | FL
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Zip | 33770-3161
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Country | US
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Telephone | 201-681-5422
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARISELA S CIGLIUTI
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Credential | BSN, RN
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Telephone | 201-681-5422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR14948400
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License Number State | NJ
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