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General NPI Number Information
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NPI Number | 1285131656
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Entity Type | Organization
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Legal Business Name | PRIORITY ONE HOME CARE LLC
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 09/04/2018
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Provider Practice Location Address
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Address Line | 7500 POWERS AVE APT 198
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City | JACKSONVILLE
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State | FL
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Zip | 32217
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Country | US
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Telephone | 904-805-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 POWERS AVE APT 198
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City | JACKSONVILLE
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State | FL
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Zip | 32217-3838
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Country | US
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Telephone | 904-805-5606
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARON WILLIAMS
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Credential |
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Telephone | 904-805-5606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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