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General NPI Number Information
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NPI Number | 1255834503
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Entity Type | Organization
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Legal Business Name | PULSE MEDICAL STAFFING
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 620 N TRADEWINDS PKWY STE A
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City | COLUMBIA
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State | MO
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Zip | 65201-7239
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Country | US
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Telephone | 877-883-8677
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Fax | 877-883-8677
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Provider Business Mailing Address
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Address Line | 620 N TRADEWINDS PKWY STE A
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City | COLUMBIA
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State | MO
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Zip | 65201-7239
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Country | US
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Telephone | 877-883-8677
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Fax | 877-883-8677
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Authorized Official
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Title or Position | CEO
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Name | DANNY JOE LATHAM
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Credential | LPN
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Telephone | 877-883-8677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 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 #4
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #7
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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 #8
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #9
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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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Taxonomy #10
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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 #11
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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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