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General NPI Number Information
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NPI Number | 1881938223
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Entity Type | Organization
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Legal Business Name | ON CALL NURSES STAFFING AGENCY
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 16400 N PARK DR APT 316
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4726
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Country | US
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Telephone | 248-783-6602
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 BOWERS ST P.O. BOX 279
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City | BIRMINGHAM
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State | MI
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Zip | 48012-7107
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TASHA DAVIS
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Credential |
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Telephone | 248-783-6602
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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 |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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