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General NPI Number Information
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NPI Number | 1013147180
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Entity Type | Organization
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Legal Business Name | HEALTHSTAFF SERVICES INC
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 144 ROY HUIE RD
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City | RIVERDALE
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State | GA
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Zip | 30274-1963
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Country | US
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Telephone | 770-996-6226
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Fax | 770-996-6223
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Provider Business Mailing Address
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Address Line | PO BOX 152
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City | LOVEJOY
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State | GA
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Zip | 30250-0152
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Country | US
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Telephone | 770-996-6226
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Fax | 770-996-6223
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. HAZEL ANGELA GILGEOURS
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Credential |
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Telephone | 770-996-6226
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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 | 031R0239
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 031R0239
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License Number State | GA
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