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General NPI Number Information
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NPI Number | 1811513542
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Entity Type | Organization
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Legal Business Name | CAPITAL MEDICAL STAFFING, LLC.
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Dates
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Enumeration Date | 06/18/2020
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 21227 EDGEWOOD CT
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City | STERLING
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State | VA
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Zip | 20165-7626
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Country | US
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Telephone | 703-675-5435
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Fax | 703-649-6316
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Provider Business Mailing Address
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Address Line | 21227 EDGEWOOD CT
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City | STERLING
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State | VA
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Zip | 20165-7626
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Country | US
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Telephone | 703-675-5435
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Fax | 703-649-6316
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MR. BARDIA JAFARI
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Credential |
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Telephone | 703-675-5435
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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 |
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License Number State |
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