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General NPI Number Information
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NPI Number | 1992398135
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Entity Type | Organization
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Legal Business Name | NIGHTINGALE NURSING LLC
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 711 PRADERA WAY
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City | SAN RAMON
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State | CA
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Zip | 94583-5344
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Country | US
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Telephone | 925-913-9499
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Fax |
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Provider Business Mailing Address
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Address Line | 711 PRADERA WAY
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City | SAN RAMON
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State | CA
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Zip | 94583-5344
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Country | US
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Telephone | 925-913-9949
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARY ANN DAVIS
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Credential | RN OWNER
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Telephone | 925-783-4337
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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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