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General NPI Number Information
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NPI Number | 1699003061
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Entity Type | Individual
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Provider Name | FELICIA STALLWORTH RN
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Gender | Female
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 464 W 141ST ST
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City | NEW YORK
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State | NY
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Zip | 10031-6202
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Country | US
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Telephone | 347-677-6422
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Fax | 212-810-2890
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Provider Business Mailing Address
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Address Line | 464 W 141ST ST
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City | NEW YORK
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State | NY
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Zip | 10031-6202
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Country | US
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Telephone | 347-677-6422
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Fax | 212-810-2890
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 163WC3500X
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Taxonomy Name | Cardiac Rehabilitation Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #10
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Taxonomy Code | 163WN0003X
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Taxonomy Name | Low-Risk Neonatal Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #11
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 419526-1
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License Number State | NY
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Taxonomy #12
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Taxonomy Code | 163WU0100X
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Taxonomy Name | Urology Registered Nurse
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License Number | 419526-1
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License Number State | NY
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