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General NPI Number Information
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NPI Number | 1669749677
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Entity Type | Organization
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Legal Business Name | HEALTHSTAFF, INC.
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 1915 HUGUENOT RD STE. 104
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-4315
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Country | US
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Telephone | 804-897-2346
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Fax | 804-897-2379
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Provider Business Mailing Address
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Address Line | 1915 HUGUENOT RD STE. 104
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-4315
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Country | US
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Telephone | 804-897-2346
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Fax | 804-897-2379
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHARON LEE NOWERY
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Credential | R.N. M.A. B.S.N.
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Telephone | 804-897-2346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 04894465
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License Number State | VA
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