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General NPI Number Information
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NPI Number | 1851977987
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Entity Type | Organization
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Legal Business Name | PS REGISTERED NURSE
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 6220 S ORANGE BLOSSOM TRL STE 517
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City | ORLANDO
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State | FL
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Zip | 32809-4685
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Country | US
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Telephone | 407-722-9474
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Fax |
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Provider Business Mailing Address
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Address Line | 7718 LAKE ANDREA CIR
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City | MOUNT DORA
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State | FL
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Zip | 32757-7313
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Country | US
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Telephone | 407-722-9474
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Fax | 407-857-0205
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Authorized Official
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Title or Position | OWNER, REGISTERED NURSE
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Name | JUANTIA RHYNES
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Credential | RN
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Telephone | 407-722-9474
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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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