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General NPI Number Information
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NPI Number | 1326220401
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Entity Type | Organization
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Legal Business Name | PRECISE HOME HEALTH CARE SEVICES LLC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 900 E HARTFORD AVE STE C
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City | PONCA CITY
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State | OK
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Zip | 74601-2057
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Country | US
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Telephone | 580-762-6000
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Fax | 580-762-6003
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Provider Business Mailing Address
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Address Line | 900 E HARTFORD AVE STE C
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City | PONCA CITY
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State | OK
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Zip | 74601-2057
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Country | US
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Telephone | 580-762-6000
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Fax | 580-762-6003
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. LORI ANN PRADO
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Credential | D.C, B.S.N, R.N
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Telephone | 580-762-6000
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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 | 7879
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License Number State | OK
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