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General NPI Number Information
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NPI Number | 1124043039
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Entity Type | Organization
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Legal Business Name | PRAC HOLDINGS, INC.
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 4615 N 1ST AVE
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City | TUCSON
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State | AZ
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Zip | 85718-5608
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Country | US
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Telephone | 520-888-7566
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Fax |
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Provider Business Mailing Address
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Address Line | 801 WARRENVILLE RD STE 800
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City | LISLE
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State | IL
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Zip | 60532-0912
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Country | US
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Telephone | 630-296-3530
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Fax |
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Authorized Official
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Title or Position | VP NATIONAL CONTRACTS
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Name | DARBY ANDERSON
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Credential |
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Telephone | 630-296-3443
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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 | HHA1269
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License Number State | AZ
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