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General NPI Number Information
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NPI Number | 1811736606
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Entity Type | Organization
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Legal Business Name | IMMEDIATE NURSE CARE STAFFING INC.
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 6510 70TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-1945
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Country | US
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Telephone | 806-790-0643
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Fax |
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Provider Business Mailing Address
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Address Line | 8117 FM 2641
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City | SHALLOWATER
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State | TX
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Zip | 79363-3784
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Country | US
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Telephone | 806-790-0643
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICARDO MARQUEZ
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Credential |
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Telephone | 806-790-0643
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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 |
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License Number State |
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