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General NPI Number Information
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NPI Number | 1922462126
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Entity Type | Organization
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Legal Business Name | MISSION MEDSTAFF, LLC
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 3816 BLAND RD
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City | RALEIGH
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State | NC
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Zip | 27609-6239
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Country | US
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Telephone | 919-400-4099
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Fax |
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Provider Business Mailing Address
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Address Line | 7300 STATE HIGHWAY 121 STE 250
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City | MCKINNEY
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State | TX
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Zip | 75070-1991
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Country | US
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Telephone | 210-875-0853
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JESSICA RIGGS
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Credential |
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Telephone | 903-532-3187
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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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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC3352
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License Number State | NC
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