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General NPI Number Information
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NPI Number | 1932850229
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Entity Type | Organization
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Legal Business Name | PROFICIENT HEALTHCARE STAFFING LLC
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 1450 COUNTY FARM RD
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City | RAYMOND
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State | MS
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Zip | 39154-9301
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Country | US
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Telephone | 601-863-0258
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Fax | 601-990-4288
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Provider Business Mailing Address
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Address Line | 409 BALD CYPRESS CV
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City | TERRY
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State | MS
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Zip | 39170-6002
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Country | US
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Telephone | 601-863-0258
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Fax | 601-990-4288
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Authorized Official
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Title or Position | CEO
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Name | LATOSHA LAIRD
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Credential | RN
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Telephone | 601-863-0258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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