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General NPI Number Information
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NPI Number | 1104629781
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Entity Type | Organization
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Legal Business Name | FOUR CROWNS STAFFING SOLUTIONS
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 116 PENNSYLVANIA AVE
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City | SHREVEPORT
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State | LA
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Zip | 71105-3318
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Country | US
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Telephone | 318-393-4038
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Fax |
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Provider Business Mailing Address
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Address Line | 116 PENNSYLVANIA AVE
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City | SHREVEPORT
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State | LA
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Zip | 71105-3318
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Country | US
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Telephone | 318-393-4038
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARMEEKA STOVE
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Credential |
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Telephone | 318-393-4038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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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 | 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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