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General NPI Number Information
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NPI Number | 1679531164
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Entity Type | Organization
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Legal Business Name | PREMIER MEDICAL STAFFING LLC
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 02/09/2009
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Provider Practice Location Address
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Address Line | 1726 MEDICAL BLVD STE 101
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City | NAPLES
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State | FL
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Zip | 34110-1426
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Country | US
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Telephone | 239-513-1992
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Fax | 239-513-9022
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Provider Business Mailing Address
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Address Line | 1726 MEDICAL BLVD STE 101
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City | NAPLES
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State | FL
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Zip | 34110-1426
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Country | US
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Telephone | 239-513-1992
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Fax | 239-513-9022
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Authorized Official
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Title or Position | ASSISTANT MANAGER
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Name | MRS. LESLIE C DAVIS
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Credential |
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Telephone | 239-513-1992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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