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General NPI Number Information
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NPI Number | 1902319726
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Entity Type | Organization
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Legal Business Name | A SUPERIOR NURSE REGISTRY LLC
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 11/15/2017
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Provider Practice Location Address
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Address Line | 1320 SE FEDERAL HWY STE 108
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City | STUART
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State | FL
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Zip | 34994-3409
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Country | US
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Telephone | 772-678-6994
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Fax | 877-581-9583
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Provider Business Mailing Address
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Address Line | 1320 SE FEDERAL HWY STE 103
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City | STUART
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State | FL
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Zip | 34994-3409
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Country | US
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Telephone | 772-678-6994
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Fax | 877-581-9583
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EUNICE EKUFU
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Credential | RN
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Telephone | 772-678-6994
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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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