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General NPI Number Information
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NPI Number | 1023242732
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Entity Type | Organization
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Legal Business Name | PRN HOME INC
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 05/08/2009
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Provider Practice Location Address
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Address Line | 4722 VIA CARMEN
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City | NAPLES
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State | FL
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Zip | 34105-5620
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Country | US
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Telephone | 239-601-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 4722 VIA CARMEN
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City | NAPLES
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State | FL
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Zip | 34105-5620
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / RN
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Name | MR. JULIO DORADO
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Credential |
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Telephone | 236-601-7900
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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 | RN# 9289197
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License Number State | FL
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