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General NPI Number Information
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NPI Number | 1528653086
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Entity Type | Organization
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Legal Business Name | AB MEDICAL STAFFING, LLC
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Dates
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Enumeration Date | 03/06/2021
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 5475 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-1647
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Country | US
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Telephone | 800-318-2900
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Fax | 219-999-9240
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Provider Business Mailing Address
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Address Line | 5401 BROADWAY STE D
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City | MERRILLVILLE
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State | IN
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Zip | 46410-1683
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Country | US
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Telephone | 800-318-2900
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Fax | 219-999-9240
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Authorized Official
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Title or Position | OWNER
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Name | BRITNEY L BYNUM
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Credential | RN
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Telephone | 219-256-1181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #4
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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