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NPI 1699224675

NPI 1699224675 : MEDISTAFF NETWORK, INC. : PEMBROKE PINES, FL

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General NPI Number Information
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    NPI Number           |    1699224675
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDISTAFF NETWORK, INC. 
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Dates
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    Enumeration Date     |    10/01/2016
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    Last Update Date     |    10/04/2017
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Provider Practice Location Address
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    Address Line         |    1931 NW 150TH AVE SUITE 118
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33028-2877
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    Country              |    US
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    Telephone            |    954-889-2252
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    Fax                  |    954-443-8496
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Provider Business Mailing Address
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    Address Line         |    1931 NW 150TH AVE SUITE 110
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33028-2877
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    Country              |    US
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    Telephone            |    954-889-2252
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    Fax                  |    954-443-8496
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Authorized Official
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    Title or Position    |    ADMINISTRATOR/OWNER
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    Name                 |    MS. ARLENE  SANCHEZ 
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    Credential           |    RN
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    Telephone            |    954-889-2252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1651
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    1651
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    225XP0019X
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    Taxonomy Name        |    Physical Rehabilitation Occupational Therapist
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    License Number       |    1651
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    License Number State |    FL
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Taxonomy #5
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    Taxonomy Code        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    FL
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