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General NPI Number Information
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NPI Number | 1215229984
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Entity Type | Organization
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Legal Business Name | NURSESTAFFING GROUP AZ, LLC
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 2025 N 3RD ST SUITE 290
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City | PHOENIX
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State | AZ
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Zip | 85004-1471
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Country | US
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Telephone | 407-645-1003
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Fax |
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Provider Business Mailing Address
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Address Line | 7071 UNIVERSITY BLVD
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City | WINTER PARK
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State | FL
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Zip | 32792-6721
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Country | US
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Telephone | 407-645-1003
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. BEN STOUT
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Credential |
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Telephone | 407-645-1003
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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 | HHA4146
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License Number State | AZ
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