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General NPI Number Information
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NPI Number | 1528084373
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Entity Type | Organization
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Legal Business Name | PRAC HOLDINGS, INC.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 4244 UNIVERSITY BLVD S STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4978
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Country | US
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Telephone | 904-731-1183
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Fax |
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Provider Business Mailing Address
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Address Line | 801 WARRENVILLE RD STE 800
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City | LISLE
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State | IL
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Zip | 60532-0912
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Country | US
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Telephone | 630-296-3400
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Fax |
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Authorized Official
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Title or Position | EVP CHIEF STRATEGY OFFICER
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Name | DARBY ANDERSON
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Credential |
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Telephone | 630-296-3441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 21159096
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License Number State | FL
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