Rediclinic Of Pa, Llc | |
599 York Rd Warminster PA 18974-4518 | |
(713) 335-1742 | |
Not Available |
Full Name | Rediclinic Of Pa, Llc |
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Speciality | Clinic/Center |
Location | 599 York Rd, Warminster, Pennsylvania |
Authorized Official Name and Position | Danielle Barrera (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 7135809489 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rediclinic Of Pa, Llc 9 Greenway Plz Ste. 2950 Houston TX 77046-0905 Ph: (713) 335-1754 | Rediclinic Of Pa, Llc 599 York Rd Warminster PA 18974-4518 Ph: (713) 335-1742 |
NPI Number | 1649672874 |
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Provider Enumeration Date | 09/18/2014 |
Last Update Date | 09/18/2014 |
Medicare PECOS PAC ID | 1456653237 |
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Medicare Enrollment ID | O20160111002414 |
Identifier | Type | State | Issuer |
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1649672874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Constance L Ballem-leach |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548280381 PECOS PAC ID: 8527029891 Enrollment ID: I20041020000538 |
Provider Name | Mariam Salahou |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780698613 PECOS PAC ID: 1557383494 Enrollment ID: I20051220000774 |
Provider Name | Anne W Lydon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801199146 PECOS PAC ID: 4486824687 Enrollment ID: I20110825000516 |
Provider Name | Anna Grasela |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164784682 PECOS PAC ID: 2961653506 Enrollment ID: I20121108000185 |
Provider Name | Anna B Simon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124170410 PECOS PAC ID: 8325106016 Enrollment ID: I20130719000656 |
Provider Name | Vida Lemaire |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528403458 PECOS PAC ID: 3779727706 Enrollment ID: I20130913000047 |
Provider Name | Natalia A Bejenaru |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568896769 PECOS PAC ID: 6204063761 Enrollment ID: I20131209001439 |
Provider Name | Lela Gould |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942621040 PECOS PAC ID: 0749410009 Enrollment ID: I20140306000080 |
Provider Name | Susan S Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376846618 PECOS PAC ID: 3173755436 Enrollment ID: I20140421000858 |
Provider Name | Angela M Peagler Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366859522 PECOS PAC ID: 5294953410 Enrollment ID: I20140902000661 |
Provider Name | Sylvia Murphy Mccray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215338942 PECOS PAC ID: 2961624135 Enrollment ID: I20141104001659 |
Provider Name | Amy E Strong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710387428 PECOS PAC ID: 7315262334 Enrollment ID: I20150216001723 |
Provider Name | Jennifer Rose Broschart-smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407259708 PECOS PAC ID: 9032436209 Enrollment ID: I20150327000364 |
Provider Name | Nicole Christina Foster |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881099463 PECOS PAC ID: 1254658180 Enrollment ID: I20150402000472 |
Provider Name | Nancy Linh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497146492 PECOS PAC ID: 9638484033 Enrollment ID: I20150813011638 |
Provider Name | Emily Van-otoo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649662925 PECOS PAC ID: 7214242106 Enrollment ID: I20150821012937 |
Provider Name | Shatyra Henderson-hamwright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306242300 PECOS PAC ID: 8628388493 Enrollment ID: I20151106000199 |
Provider Name | Maria C Harkness |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902277767 PECOS PAC ID: 4385954601 Enrollment ID: I20151117000343 |
Provider Name | Sharon L Holbrook |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619344561 PECOS PAC ID: 8325348956 Enrollment ID: I20151203000341 |
Provider Name | Peter L Caprioli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285008193 PECOS PAC ID: 1850322694 Enrollment ID: I20160106001783 |
Provider Name | Bineetha J Abraham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922499219 PECOS PAC ID: 1658673306 Enrollment ID: I20160112001868 |
Provider Name | Mini Alexander |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194102277 PECOS PAC ID: 5496057150 Enrollment ID: I20160112002138 |
Provider Name | Laruen B Gutierrez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285030627 PECOS PAC ID: 8426350190 Enrollment ID: I20160112002749 |
Provider Name | Jennifer K Berkowitz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528454568 PECOS PAC ID: 0840592523 Enrollment ID: I20160112002963 |
Provider Name | Kaleb F Carter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538565726 PECOS PAC ID: 2466754080 Enrollment ID: I20160113001081 |
Provider Name | Cyril David |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376962662 PECOS PAC ID: 8325340979 Enrollment ID: I20160113002308 |
Provider Name | Thomas N Famawa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952781072 PECOS PAC ID: 6800198482 Enrollment ID: I20160114000143 |
Provider Name | Wanda K Floros |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558763433 PECOS PAC ID: 8224106091 Enrollment ID: I20160114000296 |
Provider Name | Heewon Jeong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730555814 PECOS PAC ID: 6305149915 Enrollment ID: I20160114001315 |
Provider Name | Angelique S Mason |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497159032 PECOS PAC ID: 0749583375 Enrollment ID: I20160114001741 |
Provider Name | Sibi Mathew |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780078352 PECOS PAC ID: 7113220757 Enrollment ID: I20160114002051 |
Provider Name | Cindyl Lee Mauzey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790154482 PECOS PAC ID: 9234432873 Enrollment ID: I20160114002260 |
Provider Name | Consolata Mulli |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437568862 PECOS PAC ID: 1759684327 Enrollment ID: I20160115000067 |
Provider Name | Kristen J Nesbitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023424074 PECOS PAC ID: 2860795440 Enrollment ID: I20160115000379 |
Provider Name | Shradhdha Y Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194099283 PECOS PAC ID: 3173826658 Enrollment ID: I20160115000629 |
Provider Name | Bindu Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508284910 PECOS PAC ID: 0648573113 Enrollment ID: I20160119000163 |
Provider Name | Suzanne M Spencer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548662356 PECOS PAC ID: 6103129572 Enrollment ID: I20160119000544 |
Provider Name | Desmond Sanderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861862286 PECOS PAC ID: 3577866953 Enrollment ID: I20160119000837 |
Provider Name | Caitlin Pileggi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235517921 PECOS PAC ID: 2860795275 Enrollment ID: I20160119001768 |
Provider Name | Ivy L Pearlstein |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740386093 PECOS PAC ID: 7416250857 Enrollment ID: I20160119002460 |
Provider Name | Archana Arya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457765844 PECOS PAC ID: 2668776345 Enrollment ID: I20160201003020 |
Provider Name | Christie L Quigley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144694118 PECOS PAC ID: 4789989146 Enrollment ID: I20160223000457 |
Provider Name | Meredyth N Vanvreede |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396175899 PECOS PAC ID: 3577869452 Enrollment ID: I20160303001112 |
Provider Name | Maura K Pisano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063889913 PECOS PAC ID: 3072819812 Enrollment ID: I20160304000791 |
Provider Name | David N Summerall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184098626 PECOS PAC ID: 3274830294 Enrollment ID: I20160411000746 |
Provider Name | Phuong H Nguyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336505064 PECOS PAC ID: 3274832266 Enrollment ID: I20160426000185 |
Provider Name | Ritaann Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972960748 PECOS PAC ID: 5395044382 Enrollment ID: I20160426000405 |
Provider Name | Cynthia A Ristine-burnley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134597362 PECOS PAC ID: 6608185517 Enrollment ID: I20160706002347 |
Provider Name | Oluwatobi Menawonu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891142774 PECOS PAC ID: 0941588628 Enrollment ID: I20161101000059 |
Provider Name | Avigad Lilya Feldman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073977245 PECOS PAC ID: 4284925298 Enrollment ID: I20161101000652 |
Provider Name | Shardell Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700328960 PECOS PAC ID: 8820370273 Enrollment ID: I20170120000849 |
Provider Name | Charlotte M Saunders |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871040295 PECOS PAC ID: 7315229556 Enrollment ID: I20170123001887 |
Provider Name | Holly M Cunningham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376086322 PECOS PAC ID: 5698057578 Enrollment ID: I20170130001382 |
Provider Name | Katherine Stoudt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699211029 PECOS PAC ID: 7214212372 Enrollment ID: I20170403000465 |
Provider Name | Tetyana Demkovych |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659812675 PECOS PAC ID: 2264719418 Enrollment ID: I20170426001069 |
Provider Name | Cara A Caputo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699213223 PECOS PAC ID: 3072890003 Enrollment ID: I20170501001011 |
Provider Name | John A Dicasimirro |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881812527 PECOS PAC ID: 1052698586 Enrollment ID: I20170510000321 |
Provider Name | Tiffany A Reid |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912447533 PECOS PAC ID: 0840567822 Enrollment ID: I20170523000434 |
Provider Name | Paula M Diorio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083155204 PECOS PAC ID: 3476820879 Enrollment ID: I20170606000358 |
Provider Name | Tiffany Strothers-butler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417493321 PECOS PAC ID: 6103194436 Enrollment ID: I20170609001246 |
Provider Name | Margaret G Giamboy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164965919 PECOS PAC ID: 9638435829 Enrollment ID: I20171103000245 |
Provider Name | Stacy Ann T Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265953723 PECOS PAC ID: 1759647753 Enrollment ID: I20171107003439 |
Provider Name | Maureen P Mclaughlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891205324 PECOS PAC ID: 2466719844 Enrollment ID: I20171121001092 |
Provider Name | Amy Anne Colucci |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619486966 PECOS PAC ID: 5698035228 Enrollment ID: I20180130002781 |
Provider Name | Nadine P Lindsay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013417807 PECOS PAC ID: 8921369174 Enrollment ID: I20180313001518 |
Provider Name | Colleen Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720583214 PECOS PAC ID: 8022371673 Enrollment ID: I20180412000064 |
Provider Name | Dana M Wallace |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861989279 PECOS PAC ID: 9133483928 Enrollment ID: I20180502001835 |
Provider Name | Viktoriya Makarova |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396251815 PECOS PAC ID: 5991069189 Enrollment ID: I20180516002681 |
Provider Name | Terry-ann Natalee Levy-brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932446192 PECOS PAC ID: 1759637630 Enrollment ID: I20180706001753 |
Provider Name | Davine L Mercado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396230736 PECOS PAC ID: 0446482046 Enrollment ID: I20180719000039 |
Provider Name | Meiru Zhao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659878387 PECOS PAC ID: 4587912340 Enrollment ID: I20180810000149 |
Provider Name | Rebecca Z Burdett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275043309 PECOS PAC ID: 6608125067 Enrollment ID: I20180817000418 |
Provider Name | Laura E Maleknia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851874465 PECOS PAC ID: 5597017202 Enrollment ID: I20181008003125 |
Provider Name | Gigi Y Frasse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649745951 PECOS PAC ID: 4587918701 Enrollment ID: I20181107000028 |
Provider Name | Sharon Cave-adens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093089567 PECOS PAC ID: 8426302225 Enrollment ID: I20181114001729 |
Provider Name | Megan E Oliveira |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164998738 PECOS PAC ID: 8729332341 Enrollment ID: I20181119001666 |
Provider Name | Keisha M Mason-diprospero |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316418395 PECOS PAC ID: 5294071486 Enrollment ID: I20190109000376 |
Provider Name | Lyssa Hrisko |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093286197 PECOS PAC ID: 3678819596 Enrollment ID: I20190115001206 |
Provider Name | Kevin Hammel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356809230 PECOS PAC ID: 4587905716 Enrollment ID: I20190416001419 |
Provider Name | Tawanaha Stokes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891251609 PECOS PAC ID: 7810239597 Enrollment ID: I20190429002004 |
Provider Name | Nanzhou Guo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386042810 PECOS PAC ID: 0345557872 Enrollment ID: I20190514000795 |
Provider Name | Nicole M Hartman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518437615 PECOS PAC ID: 2163765967 Enrollment ID: I20190520000046 |
Provider Name | Zaifang Yu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962975425 PECOS PAC ID: 5092041319 Enrollment ID: I20190724003312 |
Provider Name | Annie Wong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013561539 PECOS PAC ID: 9133458730 Enrollment ID: I20190906002448 |
Provider Name | Renita E Mcguire |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437705639 PECOS PAC ID: 6709116726 Enrollment ID: I20190918000264 |
Provider Name | Kimberli M Brawner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487928842 PECOS PAC ID: 5597095562 Enrollment ID: I20190918002024 |
Provider Name | Kira Graziano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780232009 PECOS PAC ID: 2264865682 Enrollment ID: I20191125002574 |
Provider Name | Denise Shank |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811219520 PECOS PAC ID: 1052746039 Enrollment ID: I20200122000290 |
Provider Name | Shakitta Jefferson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952934135 PECOS PAC ID: 0749618304 Enrollment ID: I20200312001647 |
Provider Name | Laura B Steffa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174158372 PECOS PAC ID: 8325477128 Enrollment ID: I20200330003093 |
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