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General NPI Number Information
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NPI Number | 1699039925
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Entity Type | Organization
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Legal Business Name | GODSON HEALTHCARE STAFFING
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 07/02/2012
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Provider Practice Location Address
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Address Line | 6816 BAYBORO CT
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City | MOBILE
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State | AL
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Zip | 36608-4203
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Country | US
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Telephone | 251-229-3203
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Fax | 251-343-3816
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Provider Business Mailing Address
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Address Line | PO BOX 8394
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City | MOBILE
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State | AL
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Zip | 36689-0394
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Country | US
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Telephone | 251-229-3203
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Fax | 251-343-3816
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENISE ANDERSON
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Credential |
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Telephone | 251-229-3203
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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 | 095197
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License Number State | AL
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