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General NPI Number Information
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NPI Number | 1467258376
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Entity Type | Organization
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Legal Business Name | PROSOURCE STAFFING, LLC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 3688 US ROUTE 60
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City | HUNTINGTON
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State | WV
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Zip | 25705-8824
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Country | US
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Telephone | 336-213-3503
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Fax |
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Provider Business Mailing Address
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Address Line | 840 COUNTY ROAD 119
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City | IRONTON
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State | OH
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Zip | 45638-8114
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Country | US
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Telephone | 336-213-3503
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Fax |
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Authorized Official
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Title or Position | CEO & OWNER
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Name | KATIE HAMPTON
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Credential |
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Telephone | 336-213-3503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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