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General NPI Number Information
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NPI Number | 1013287242
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Entity Type | Organization
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Legal Business Name | PREMIER ONE STAFFING
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 21315 CONSTITUTION ST
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City | SOUTHFIELD
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State | MI
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Zip | 48076-5514
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Country | US
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Telephone | 248-792-1252
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Fax | 248-945-1210
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Provider Business Mailing Address
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Address Line | 21315 CONSTITUTION ST
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City | SOUTHFIELD
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State | MI
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Zip | 48076-5514
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Country | US
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Telephone | 248-792-1252
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Fax | 248-945-1210
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Authorized Official
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Title or Position | CEO
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Name | MRS. RIKKI LENEE ATIGARIN
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Credential | RN BSN
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Telephone | 248-792-1252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 3140N1450X
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License Number State | MI
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