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General NPI Number Information
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NPI Number | 1750870119
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Entity Type | Individual
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Provider Name | CATHY PLAYER SIRMANS LPN/PRESIDENT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 54791 CHURCH RD
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City | CALLAHAN
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State | FL
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Zip | 32011-7615
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Country | US
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Telephone | 904-316-7290
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Fax | 904-879-1607
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Provider Business Mailing Address
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Address Line | 54791 CHURCH RD
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City | CALLAHAN
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State | FL
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Zip | 32011-7615
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Country | US
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Telephone | 904-316-7290
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Fax | 904-879-1607
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | PN5149207
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License Number State | FL
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