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General NPI Number Information
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NPI Number | 1265014203
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Entity Type | Organization
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Legal Business Name | 1ST PRIORITY HOMECARE, INC.
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 6466 E BRAINERD RD STE 5
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3907
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Country | US
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Telephone | 423-208-4435
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Fax |
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Provider Business Mailing Address
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Address Line | 4103 REGENCY CT
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City | CHATTANOOGA
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State | TN
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Zip | 37421-7623
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Country | US
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Telephone | 423-208-4435
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | DEANNE BOLTON
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Credential |
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Telephone | 423-208-4435
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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 |
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Taxonomy #2
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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 #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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