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General NPI Number Information
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NPI Number | 1295400869
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Entity Type | Organization
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Legal Business Name | AMERICAN PRIME HEALTHCARE, INC.
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Dates
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Enumeration Date | 08/14/2021
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 2180 HARVARD ST STE 330
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City | SACRAMENTO
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State | CA
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Zip | 95815-3317
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Country | US
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Telephone | 916-418-4232
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Fax | 916-418-4289
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Provider Business Mailing Address
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Address Line | 2180 HARVARD ST STE 330
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City | SACRAMENTO
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State | CA
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Zip | 95815-3317
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Country | US
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Telephone | 916-418-4232
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Fax | 916-418-4289
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HUSSAM KUJOK
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Credential | MD
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Telephone | 916-418-4232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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