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General NPI Number Information
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NPI Number | 1609370410
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Entity Type | Organization
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Legal Business Name | DSM STAFFING, INC.
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 10665 SW 190TH ST STE 3202
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City | CUTLER BAY
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State | FL
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Zip | 33157-7654
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Country | US
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Telephone | 786-732-6329
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Fax | 786-732-6329
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Provider Business Mailing Address
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Address Line | 10665 SW 190TH ST STE 3202
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City | CUTLER BAY
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State | FL
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Zip | 33157-7654
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Country | US
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Telephone | 786-732-6329
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Fax | 786-732-6329
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Authorized Official
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Title or Position | ALT ADMINITRATOR
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Name | ANDRE HOLDING
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Credential |
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Telephone | 404-545-9880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 5223413
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License Number State | FL
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