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General NPI Number Information
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NPI Number | 1952706186
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Entity Type | Organization
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Legal Business Name | STAFF UNLIMITED, INC.
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/31/2014
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Provider Practice Location Address
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Address Line | 5084 W PIERSON RD SUITE 2
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City | FLINT
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State | MI
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Zip | 48504-1344
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Country | US
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Telephone | 810-228-3749
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Fax | 810-228-3786
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Provider Business Mailing Address
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Address Line | 5084 W PIERSON RD SUITE 2
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City | FLINT
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State | MI
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Zip | 48504-1344
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Country | US
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Telephone | 810-228-3749
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Fax | 810-228-3786
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Authorized Official
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Title or Position | OWNER
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Name | MARCIA E JOHNSON
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Credential | PSY.D.
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Telephone | 810-228-3749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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