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General NPI Number Information
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NPI Number | 1760889034
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Entity Type | Organization
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Legal Business Name | MAS MEDICAL STAFFING
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Dates
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Enumeration Date | 12/02/2014
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 510 CENTENNIAL CIR
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6586
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Country | US
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Telephone | 308-534-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 156 HARVEY RD
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City | LONDONDERRY
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State | NH
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Zip | 03053-7449
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Country | US
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Telephone | 800-657-6517
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Fax |
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Authorized Official
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Title or Position | QUALITY ASSURANCE SPECIALIST
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Name | MRS. KATHRINE WOODMAN
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Credential |
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Telephone | 800-657-6517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 1355
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License Number State | NE
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