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General NPI Number Information
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NPI Number | 1831847177
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Entity Type | Organization
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Legal Business Name | CLINICAL NURSE CONSULTANTS LLC
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 710 WILMINGTON RD STE F
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City | HISTORIC NEW CASTLE
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State | DE
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Zip | 19720-3685
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Country | US
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Telephone | 302-213-0477
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Fax |
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Provider Business Mailing Address
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Address Line | 710 WILMINGTON RD STE F
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City | HISTORIC NEW CASTLE
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State | DE
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Zip | 19720-3685
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Country | US
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Telephone | 302-213-0477
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DECARLA PEARSALL
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Credential | BSN, RN, CMDCP, CGCP
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Telephone | 302-213-0477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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