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General NPI Number Information
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NPI Number | 1932415197
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Entity Type | Organization
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Legal Business Name | ELIZABETH NURSE STAFFING INC
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 830 BOULEVARD SE
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City | ATLANTA
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State | GA
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Zip | 30312-3653
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Country | US
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Telephone | 404-583-3953
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Fax |
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Provider Business Mailing Address
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Address Line | 210 S PLEASANT ST APT 116
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City | INDEPENDENCE
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State | MO
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Zip | 64050-3635
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Country | US
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Telephone | 404-583-3953
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CLATRES SHAUNTA BROWNLEE
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Credential |
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Telephone | 404-583-3953
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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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Taxonomy #2
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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 | GA
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