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General NPI Number Information
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NPI Number | 1356554612
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Entity Type | Organization
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Legal Business Name | PREMIER HOME HEALTH CARE SERVICES, INC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 272 NUBER AVE #2
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City | MOUNT VERNON
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State | NY
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Zip | 10553-1408
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Country | US
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Telephone | 914-668-4544
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Fax |
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Provider Business Mailing Address
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Address Line | 272 NUBER AVE MOUNT VERNON
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City | MOUNT VERNON
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State | NY
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Zip | 10553-1408
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Country | US
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Telephone | 914-668-4544
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Fax |
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Authorized Official
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Title or Position | FIELD NURSE SUPERVISOR, BRONX
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Name | MS. FAITH KAREN HUGGINS
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Credential | RN
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Telephone | 718-828-4700
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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 | 429750
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License Number State | NY
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