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General NPI Number Information
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NPI Number | 1972720738
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Entity Type | Organization
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Legal Business Name | INTEGRATED NURSING ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 32 N BEVERWYCK RD SUITE #6
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City | LAKE HIAWATHA
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State | NJ
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Zip | 07034-2512
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Country | US
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Telephone | 973-331-1901
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Fax | 973-331-1907
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Provider Business Mailing Address
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Address Line | 2999 N 44TH ST STE 100
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City | PHOENIX
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State | AZ
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Zip | 85018-7247
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Country | US
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Telephone | 480-618-5760
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Fax | 602-253-5656
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIKE LOVELL
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Credential |
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Telephone | 480-618-5760
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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 | HP0047300
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License Number State | NJ
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