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General NPI Number Information
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NPI Number | 1982739793
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Entity Type | Organization
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Legal Business Name | STERLING SURGICAL SERVICES, LLC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 5 CLAYHOLE RD
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City | LITTLE EGG HARBOR TWP
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State | NJ
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Zip | 08087-2109
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Country | US
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Telephone | 609-296-5784
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Fax | 609-296-5784
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Provider Business Mailing Address
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Address Line | 5 CLAYHOLE RD
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City | LITTLE EGG HARBOR TWP
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State | NJ
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Zip | 08087-2109
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Country | US
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Telephone | 609-296-5784
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Fax | 609-296-5784
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURIE J. DIDYK
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Credential | MSN APN
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Telephone | 609-286-5794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00054900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00054900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 26NO06959300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 364SP2800X
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Taxonomy Name | Perioperative Clinical Nurse Specialist
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License Number | 26NJ00054900
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License Number State | NJ
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