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General NPI Number Information
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NPI Number | 1639216203
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Entity Type | Organization
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Legal Business Name | 1ST PREMIER HOME CARE, INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 05/12/2016
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Provider Practice Location Address
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Address Line | 4411 MCLEOD RD NE SUITE G
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2227
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Country | US
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Telephone | 505-271-2120
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Fax | 505-271-5316
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Provider Business Mailing Address
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Address Line | PO BOX 51267
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City | ALBUQUERQUE
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State | NM
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Zip | 87181-1267
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Country | US
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Telephone | 505-271-2120
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. DAVID A KAMINSKI
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Credential | MHA
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Telephone | 505-271-2120
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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 | 3195
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License Number State | NM
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