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General NPI Number Information
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NPI Number | 1891513495
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Entity Type | Organization
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Legal Business Name | STAFFING ON DEMAND
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 29 LISA DR
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City | BROCKTON
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State | MA
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Zip | 02302-1125
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Country | US
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Telephone | 774-297-4013
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Fax |
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Provider Business Mailing Address
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Address Line | 29 LISA DR
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City | BROCKTON
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State | MA
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Zip | 02302-1125
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Country | US
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Telephone | 774-297-4013
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Fax |
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Authorized Official
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Title or Position | COO
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Name | GIOVANNI CHIMA
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Credential |
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Telephone | 774-297-4013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #8
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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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