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General NPI Number Information
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NPI Number | 1104032200
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Entity Type | Organization
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Legal Business Name | HOME PREFERRED HOME CARE, LTD.
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 4915 FULTON DR NW UNIT #6
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City | CANTON
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State | OH
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Zip | 44718-2397
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Country | US
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Telephone | 330-491-1805
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Fax | 330-491-1809
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Provider Business Mailing Address
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Address Line | 4915 FULTON DR NW UNIT #6
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City | CANTON
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State | OH
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Zip | 44718-2397
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Country | US
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Telephone | 330-491-1805
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Fax | 330-491-1809
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PAMELA J SIMMONS
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Credential |
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Telephone | 330-491-1805
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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 | OH
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