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General NPI Number Information
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NPI Number | 1417357369
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Entity Type | Organization
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Legal Business Name | ARTWORKS STAFFING INC
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 3195 OLD WASHINGTON RD
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City | WALDORF
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State | MD
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Zip | 20602-3201
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Country | US
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Telephone | 240-441-9608
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Fax |
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Provider Business Mailing Address
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Address Line | 3195 OLD WASHINGTON RD
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City | WALDORF
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State | MD
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Zip | 20601
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Country | US
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Telephone | 240-441-9608
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Fax |
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | TESHANDRA WILSON
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Credential | CMT
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Telephone | 240-441-9608
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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 | 1304003
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License Number State | MD
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