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General NPI Number Information
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NPI Number | 1235476151
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Entity Type | Organization
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Legal Business Name | TASSCO STAFFING LLC
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 2114 ANGUS RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-2768
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Country | US
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Telephone | 434-973-2738
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Fax | 434-293-0693
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Provider Business Mailing Address
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Address Line | PO BOX 7141
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22906-7141
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Country | US
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Telephone | 434-973-2738
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Fax | 434-293-0693
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Authorized Official
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Title or Position | MANAGER
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Name | MR. BUTCH WELLS
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Credential |
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Telephone | 434-973-2738
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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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