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General NPI Number Information
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NPI Number | 1164835468
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Entity Type | Organization
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Legal Business Name | PRECISION HEALTHCARE STAFFING LLC
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 104 W COURT ST
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City | BROOKHAVEN
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State | MS
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Zip | 39601-3018
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Country | US
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Telephone | 601-265-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 4209 LAKELAND DR # 363
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City | FLOWOOD
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State | MS
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Zip | 39232-9212
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHONDA LYONS
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Credential |
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Telephone | 877-891-4286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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