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General NPI Number Information
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NPI Number | 1508835620
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Entity Type | Organization
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Legal Business Name | PRIMA HOME HEALTH LLC
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 3500 N STATE ROAD 7 SUITE 499
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5600
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Country | US
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Telephone | 954-731-4511
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Fax | 954-485-1082
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Provider Business Mailing Address
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Address Line | 3500 N STATE ROAD 7 SUITE 499
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5600
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Country | US
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Telephone | 954-731-4511
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Fax | 954-485-1082
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. BARRINGTON GEORGE COOMBS
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Credential | C.P.A
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Telephone | 954-731-4511
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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 | HHA 299992155
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License Number State | FL
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