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General NPI Number Information
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NPI Number | 1326558875
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Entity Type | Organization
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Legal Business Name | 1ST PRIORITY HOME CARE LLC
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 10/10/2017
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Provider Practice Location Address
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Address Line | 218 OLD ROUTE 66
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City | AVERILL PARK
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State | NY
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Zip | 12018-2320
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Country | US
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Telephone | 518-992-5663
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 221
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City | WYNANTSKILL
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State | NY
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Zip | 12198-0221
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY REEVES
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Credential |
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Telephone | 518-992-5663
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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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