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General NPI Number Information
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NPI Number | 1730701343
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Entity Type | Organization
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Legal Business Name | DIAMOND MEDICAL EMPLOYMENT AGENCY INC
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 06/22/2021
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Provider Practice Location Address
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Address Line | 21873 HEMPSTEAD AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-2103
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Country | US
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Telephone | 917-595-7569
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Fax |
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Provider Business Mailing Address
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Address Line | 21873 HEMPSTEAD AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-2103
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Country | US
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Telephone | 917-595-7569
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARINA MARIE DIAMOND
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Credential | CNA
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Telephone | 917-595-7569
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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 |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number |
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License Number State | NULL
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