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General NPI Number Information
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NPI Number | 1811590219
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Entity Type | Organization
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Legal Business Name | THE NURSE CONNECT, LLC
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 06/06/2021
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Provider Practice Location Address
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Address Line | 6485 STECK COVE
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City | ARLINGTON
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State | TN
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Zip | 38002
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Country | US
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Telephone | 901-489-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 6485 STECK COVE
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City | ARLINGTON
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State | TN
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Zip | 38002
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Country | US
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Telephone | 901-489-0220
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHASITY VASHON WOOTEN
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Credential | RN
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Telephone | 901-489-0220
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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