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General NPI Number Information
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NPI Number | 1750734653
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Entity Type | Individual
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Provider Name | NAKIA NKANSAH LPN
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Gender | Female
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Dates
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Enumeration Date | 07/15/2016
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Last Update Date | 07/15/2016
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Provider Practice Location Address
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Address Line | 8 BALTIMORE LN
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City | PALM COAST
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State | FL
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Zip | 32137-8850
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Country | US
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Telephone | 386-538-8210
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 782
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City | BUNNELL
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State | FL
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Zip | 32110-0782
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Country | US
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Telephone | 386-538-8210
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN 5151319
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License Number State | FL
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