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NPI 1942335252

NPI 1942335252 : AGL FIRST ASSISTING, LLC : MORRISTOWN, NJ

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General NPI Number Information
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    NPI Number           |    1942335252
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    Entity Type          |    Organization 
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    Legal Business Name  |    AGL FIRST ASSISTING, LLC 
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Dates
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    Enumeration Date     |    02/23/2007
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    Last Update Date     |    01/25/2013
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Provider Practice Location Address
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    Address Line         |    11 SOUTH ST 
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    City                 |    MORRISTOWN
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    State                |    NJ
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    Zip                  |    07960-9517
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    Country              |    US
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    Telephone            |    973-551-1862
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    Fax                  |    866-395-0888
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Provider Business Mailing Address
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    Address Line         |    937 BANTA PL 
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    City                 |    RIDGEFIELD
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    State                |    NJ
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    Zip                  |    07657-1703
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    Country              |    US
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    Telephone            |    973-551-1862
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    Fax                  |    866-395-0888
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ANDREA G LANGAN 
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    Credential           |    
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    Telephone            |    973-551-1862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WR0006X
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    Taxonomy Name        |    Registered Nurse First Assistant
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    License Number       |    
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    License Number State |    
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