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General NPI Number Information
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NPI Number | 1255292777
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Entity Type | Organization
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Legal Business Name | PM3 OUTSOURCING SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1775 PARKER RD SE STE C210
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City | CONYERS
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State | GA
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Zip | 30094-6676
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Country | US
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Telephone | 713-679-1053
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Fax |
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Provider Business Mailing Address
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Address Line | 174 ODYSSEY TURN
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City | CONYERS
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State | GA
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Zip | 30012-3680
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Country | US
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Telephone | 713-679-1053
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | SHANTELLA LATRESA ROSS
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Credential |
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Telephone | 713-679-1053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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