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General NPI Number Information
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NPI Number | 1508270505
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Entity Type | Organization
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Legal Business Name | CONTINUUM HEALTHCARE STAFFING LLC
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 819 OAKLAWN CT
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City | COOKEVILLE
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State | TN
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Zip | 38501-2921
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Country | US
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Telephone | 931-510-8832
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Fax |
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Provider Business Mailing Address
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Address Line | 819 OAKLAWN CT
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City | COOKEVILLE
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State | TN
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Zip | 38501-2921
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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 | MEMBER
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Name | BRENT YATES
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Credential | OTDR/L
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Telephone | 931-510-8832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 3389
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 3741
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 4058
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License Number State | TN
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