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General NPI Number Information
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NPI Number | 1497958318
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Entity Type | Organization
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Legal Business Name | ACTIN STAFFING
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6776 SOUTHWEST FWY SUITE 532
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City | HOUSTON
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State | TX
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Zip | 77074-2107
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Country | US
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Telephone | 713-780-3711
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Fax |
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Provider Business Mailing Address
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Address Line | 6776 SW FREEWAY SUITE 532
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 713-780-3711
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF MARKETING & OPERATIONS
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Name | FERDINAND BUENAVISTA
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Credential |
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Telephone | 713-789-3711
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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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