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General NPI Number Information
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NPI Number | 1669269080
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Entity Type | Organization
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Legal Business Name | CELESTE HEALTH STAFFING AGENCY
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 16250 NORTHLAND DR STE 246
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5205
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Country | US
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Telephone | 734-294-2056
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Fax | 734-725-6746
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Provider Business Mailing Address
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Address Line | 45443 PARKDALE DR
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City | CANTON
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State | MI
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Zip | 48188-2437
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Country | US
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Telephone | 248-795-3553
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARMAINE ADEGEYE
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Credential | NURSE PRACTITIONER
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Telephone | 248-795-3553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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