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NPI 1881115376

NPI 1881115376 : GIFTED NURSES, LLC : METAIRIE, LA

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General NPI Number Information
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    NPI Number           |    1881115376
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    Entity Type          |    Organization 
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    Legal Business Name  |    GIFTED NURSES, LLC 
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Dates
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    Enumeration Date     |    07/05/2017
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    Last Update Date     |    07/05/2017
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Provider Practice Location Address
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    Address Line         |    2748 METAIRIE LAWN DR 
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70002-6182
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    Country              |    US
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    Telephone            |    504-831-2123
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2748 METAIRIE LAWN DR 
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70002-6182
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING DIRECTOR
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    Name                 |    MS. MARY KAY  MOLBERT 
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    Credential           |    
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    Telephone            |    504-831-2123
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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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