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General NPI Number Information
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NPI Number | 1184577363
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Entity Type | Organization
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Legal Business Name | GIBSON PREMIER HOME CARE., LLC
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 750 E LANDIS AVE
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City | VINELAND
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State | NJ
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Zip | 08360-8009
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Country | US
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Telephone | 856-238-1491
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Fax | 856-238-1492
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Provider Business Mailing Address
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Address Line | 750 E LANDIS AVE
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City | VINELAND
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State | NJ
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Zip | 08360-8009
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Country | US
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Telephone | 856-238-1491
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Fax | 856-238-1492
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Authorized Official
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Title or Position | OWNER
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Name | DR. LYDIA CAPRICE GIBSON
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Credential | DNP, CRNP, FNP-BC
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Telephone | 267-408-0436
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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