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Requirements for education, experience, licensure, and job responsibilities vary among the states.

  • Non-participating providers haven't signed an agreement to accept assignment for all Medicare-covered services, but they can still choose to accept assignment for individual services.

  • Sole proprietors and sole proprietorships are Entity Type 1 Individual providers.

  • Organization health care providers e.

Provider Business Mailing Address Details: Address 23 Ann Rd, City Mastic Beach State New York Zip 11951-2517 Phone Number 631-875-7882 Fax Number -- Provider Business Practice Location Address Details: Address 23 Ann Rd, City Mastic Beach State New York Zip 11951-2517 Phone Number 631-875-7882 Fax Number -- Provider's Primary Taxonomy Details: Type Nursing Service Providers Speciality Licensed Practical Nurse Taxonomy 164W00000X Licence No.

  • Entity Type 1 providers are individual providers who render health care e.

  • Laronda Renee Butts does not participate in Medicare program.

  • Laronda Renee Butts is 1831430479 and she holds a License No.




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