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General NPI Number Information
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NPI Number | 1861116758
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Entity Type | Organization
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Legal Business Name | CARUTH STAFFING AGENCY P.C.
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 2114 GARDEN GROVE LN
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City | BOWIE
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State | MD
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Zip | 20721-1883
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Country | US
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Telephone | 240-245-0039
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Fax | 301-542-0125
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Provider Business Mailing Address
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Address Line | 2114 GARDEN GROVE LN
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City | BOWIE
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State | MD
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Zip | 20721-1883
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Country | US
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Telephone | 240-245-0039
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Fax | 301-542-0125
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. MONIQUE JUNETTE CARUTH
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Credential | PT, DPT
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Telephone | 240-245-0039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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