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General NPI Number Information
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NPI Number | 1982498457
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Entity Type | Organization
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Legal Business Name | PROMINENT MEDICAL STAFFING, INC.
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 5435 JONESTOWN RD
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City | HARRISBURG
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State | PA
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Zip | 17112-4004
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Country | US
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Telephone | 717-918-6107
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Fax |
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Provider Business Mailing Address
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Address Line | 5435 JONESTOWN RD
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City | HARRISBURG
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State | PA
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Zip | 17112-4004
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Country | US
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Telephone | 717-918-6107
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Fax | 717-918-6108
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MICHAEL DAVID GIPE
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Credential |
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Telephone | 717-918-6107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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