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General NPI Number Information
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NPI Number | 1306247127
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Entity Type | Organization
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Legal Business Name | PREMIER STAFFING SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 155 WESTRIDGE PKWY 110
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City | MCDONOUGH
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State | GA
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Zip | 30253-3049
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Country | US
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Telephone | 888-618-2332
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Fax | 888-618-2334
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Provider Business Mailing Address
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Address Line | 2008 TOWALIGA CT
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City | LOCUST GROVE
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State | GA
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Zip | 30248-7404
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Country | US
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Telephone | 888-618-2332
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Fax | 888-618-2334
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LISA MARIE BROWN
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Credential | RN
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Telephone | 888-618-2332
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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 | 075-R-1321
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 075-R-1321
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License Number State | GA
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