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General NPI Number Information
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NPI Number | 1366420515
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Entity Type | Organization
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Legal Business Name | PRN HOME CARE, INC.
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 7155 MURRELL RD STE 101
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City | MELBOURNE
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State | FL
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Zip | 32940-8258
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Country | US
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Telephone | 321-751-6390
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Fax | 321-751-6389
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Provider Business Mailing Address
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Address Line | 7155 MURRELL RD STE 101
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City | MELBOURNE
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State | FL
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Zip | 32940-8258
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Country | US
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Telephone | 321-751-6390
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Fax | 321-751-6389
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEVIN J O'REILLY
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Credential | MBA
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Telephone | 321-960-0195
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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 | HHA299991877
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License Number State | FL
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