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NPI 1912068578

NPI 1912068578 : SOS STAFFING SOLUTIONS, INC. : HAZELWOOD, MO

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General NPI Number Information
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    NPI Number           |    1912068578
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOS STAFFING SOLUTIONS, INC. 
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Dates
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    Enumeration Date     |    12/13/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    350 C. VILLAGE SQUARE SHOPPING CENTER 
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    City                 |    HAZELWOOD
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    State                |    MO
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    Zip                  |    63042
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    Country              |    US
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    Telephone            |    314-731-6563
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    350 VILLAGE SQUARE SUTIE 5
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    City                 |    HAZELWOOD
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    State                |    MO
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    Zip                  |    63042
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    Country              |    US
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    Telephone            |    314-731-6563
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MS. JANICE L STOCK 
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    Credential           |    THERIPIST
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    Telephone            |    636-537-0649
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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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