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General NPI Number Information
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NPI Number | 1619172053
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Entity Type | Organization
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Legal Business Name | ONE STOP NURSE STAFFING AGENCY, INC.
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Dates
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Enumeration Date | 06/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3710 N JANSSEN AVE #2
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City | CHICAGO
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State | IL
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Zip | 60613-3702
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Country | US
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Telephone | 773-857-0720
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Fax | 312-212-5956
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Provider Business Mailing Address
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Address Line | 3710 N JANSSEN AVE #2
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City | CHICAGO
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State | IL
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Zip | 60613-3702
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Country | US
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Telephone | 773-857-0720
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Fax | 312-212-5956
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Authorized Official
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Title or Position | VICE- PRESIDENT
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Name | MS. LISA R STILLS
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Credential |
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Telephone | 773-857-0720
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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 | 2007-N1062
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License Number State | IL
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