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General NPI Number Information
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NPI Number | 1750040119
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Entity Type | Organization
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Legal Business Name | NURSETEL
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 6108 OLD HICKORY RD
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City | CRESTVIEW
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State | FL
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Zip | 32539-7172
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Country | US
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Telephone | 850-252-4312
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 590
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City | MOBILE
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State | AL
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Zip | 36601-0590
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Country | US
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Telephone | 850-252-4312
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Fax | 850-361-3486
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHELIA WHITE
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Credential |
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Telephone | 850-252-4312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing 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 | 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 #3
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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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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