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General NPI Number Information
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NPI Number | 1447490677
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Entity Type | Organization
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Legal Business Name | SUPREME STAFFING&DIET CONSULTANTS
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Dates
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Enumeration Date | 02/27/2009
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 1730 CONNECTICUT AVE NW SUITE3B
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City | WASHINGTON
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State | DC
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Zip | 20009-1166
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Country | US
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Telephone | 202-319-1231
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Fax | 202-319-1441
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Provider Business Mailing Address
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Address Line | 1730 CONNECTICUT AVE NW SUITE3B
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City | WASHINGTON
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State | DC
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Zip | 20009-1166
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Country | US
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Telephone | 202-319-1231
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Fax | 202-319-1441
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISS TOLANI LAOYE RUFAI
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Credential | RD
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Telephone | 202-319-1231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | NU111
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License Number State | DC
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