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General NPI Number Information
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NPI Number | 1215356605
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Entity Type | Organization
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Legal Business Name | SENIOR STAFFING SERVICES
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 602 W CLARKE ST
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City | WILDWOOD
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State | FL
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Zip | 34785-3019
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Country | US
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Telephone | 844-852-7560
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Fax |
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Provider Business Mailing Address
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Address Line | 7348 COUNTY ROAD 213
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City | WILDWOOD
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State | FL
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Zip | 34785-4318
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EUGINA HARRISON
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Credential |
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Telephone | 844-852-7560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 233312
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License Number State | FL
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