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General NPI Number Information
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NPI Number | 1194809376
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Entity Type | Organization
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Legal Business Name | JULIANA NWACHUKWU DBA PREMIER HOME HEALTH SERVICES
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 2608 CROOKED CRK
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City | MESQUITE
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State | TX
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Zip | 75181-4216
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Country | US
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Telephone | 214-546-0267
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Fax | 972-222-0316
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Provider Business Mailing Address
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Address Line | 2608 CROOKED CRK
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City | MESQUITE
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State | TX
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Zip | 75181-4216
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Country | US
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Telephone | 214-546-0267
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Fax | 972-222-0316
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. JULIANA NWACHUKWU
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Credential | RN, BSN
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Telephone | 214-546-0267
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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 | 011430
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License Number State | TX
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