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General NPI Number Information
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NPI Number | 1558021972
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Entity Type | Organization
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Legal Business Name | JULIE'S PREMIER HOME CARE LLC
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 1411 FALLS AVE E STE 601
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City | TWIN FALLS
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State | ID
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Zip | 83301-3458
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Country | US
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Telephone | 208-280-0324
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Fax | 208-737-9302
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Provider Business Mailing Address
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Address Line | 527 WOODLAND DR
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City | TWIN FALLS
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State | ID
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Zip | 83301-2404
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Country | US
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Telephone | 208-280-0324
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Fax | 208-737-9302
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Authorized Official
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Title or Position | OWNER
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Name | JULIE MILLS
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Credential |
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Telephone | 208-280-0324
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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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