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General NPI Number Information
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NPI Number | 1225372717
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Entity Type | Organization
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Legal Business Name | PRIORITY ONE HOME CARE II
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Dates
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Enumeration Date | 11/21/2012
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 103 RAILROAD AVE
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City | ALDERSON
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State | WV
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Zip | 24910
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Country | US
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Telephone | 304-445-4960
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Fax | 304-445-4962
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Provider Business Mailing Address
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Address Line | PO BOX 739 103 RAILROAD AVE
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City | ALDERSON
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State | WV
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Zip | 24910-0739
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Country | US
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Telephone | 304-445-4960
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Fax | 304-445-4962
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JANE LEIGH BRYANT
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Credential | BA
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Telephone | 304-445-4960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | LRTR0042
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | LRTR0442
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License Number State | WV
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