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General NPI Number Information
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NPI Number | 1457613614
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Entity Type | Organization
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Legal Business Name | PRIMUS HOME CARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 800 W CENTRAL RD STE 105
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-2383
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Country | US
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Telephone | 847-255-1177
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Fax | 847-255-1199
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Provider Business Mailing Address
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Address Line | 800 W CENTRAL RD STE 105
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-2383
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Country | US
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Telephone | 847-255-1177
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Fax | 847-255-1199
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FLORDELINA A SUMAIT
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Credential | RN
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Telephone | 847-255-1177
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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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