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General NPI Number Information
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NPI Number | 1720776438
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Entity Type | Organization
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Legal Business Name | NURSES ON A MISSION INC
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 25058 BLUE STAR HWY
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City | QUINCY
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State | FL
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Zip | 32351-7264
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Country | US
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Telephone | 850-590-5501
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 182
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City | HAVANA
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State | FL
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Zip | 32333-0182
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Country | US
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Telephone | 850-590-5501
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SHAQUALA CAMPBELL
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Credential | RN
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Telephone | 850-590-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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