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General NPI Number Information
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NPI Number | 1891042602
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Entity Type | Organization
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Legal Business Name | SINGLE SOURCE STAFFING INC
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 08/10/2012
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Provider Practice Location Address
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Address Line | 6707 ROOSEVELT AVE WOODSIDE
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City | WOODSIDE
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State | NY
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Zip | 11377-2923
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Country | US
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Telephone | 800-550-6946
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Fax | 866-414-6462
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Provider Business Mailing Address
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Address Line | 6707 ROOSEVELT AVE WOODSIDE
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City | WOODSIDE
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State | NY
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Zip | 11377-2923
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Country | US
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Telephone | 800-550-6946
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Fax | 866-414-6462
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BHARTI DUDANI
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Credential | MD
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Telephone | 800-550-6946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1423744
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 1423744
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License Number State | NY
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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 | 1423744
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 1423744
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 1423744
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License Number State | NY
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