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General NPI Number Information
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NPI Number | 1437397759
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Entity Type | Organization
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Legal Business Name | PRIMARY MEDICAL STAFFING, INC.
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 3600 RED RD SUITE 303
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City | MIRAMAR
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State | FL
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Zip | 33025
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Country | US
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Telephone | 954-727-1819
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Fax | 954-727-3830
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Provider Business Mailing Address
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Address Line | 3600 RED RD STE 303
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City | MIRAMAR
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State | FL
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Zip | 33025-6014
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Country | US
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Telephone | 954-727-1819
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Fax | 954-580-3189
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRINSTON JEAN-GLAUDE
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Credential |
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Telephone | 954-727-1819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299992253
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License Number State | FL
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