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General NPI Number Information
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NPI Number | 1578279311
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Entity Type | Organization
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Legal Business Name | PROVIDERS HEALTHCARE STAFFING LLC
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 2641 STONEWOOD PARK LOOP
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City | LAND O LAKES
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State | FL
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Zip | 34638
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Country | US
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Telephone | 813-368-6451
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Fax |
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Provider Business Mailing Address
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Address Line | 22918 COLDRIDGE DRIVE
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City | LAND O' LAKES
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State | FL
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Zip | 34639
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Country | US
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Telephone | 813-368-6451
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MRS. JESSICA BERT
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Credential |
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Telephone | 813-368-6451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 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 #3
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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 #4
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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 #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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