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General NPI Number Information
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NPI Number | 1184846248
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Entity Type | Organization
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Legal Business Name | CALLOS MEDICAL STAFFING, LLC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5083 MARKET ST SUITE 6
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-2190
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Country | US
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Telephone | 330-788-3033
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Fax | 330-788-6940
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Provider Business Mailing Address
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Address Line | 5083 MARKET ST SUITE 6
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-2190
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Country | US
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Telephone | 330-788-3033
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Fax | 330-788-6940
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Authorized Official
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Title or Position | VICEPRESIDENT
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Name | MRS. CHERYL LYNNE PLANT
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Credential | RN
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Telephone | 330-788-3033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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