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General NPI Number Information
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NPI Number | 1649812728
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Entity Type | Organization
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Legal Business Name | PRIORITY HOME CARE LLC
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 1104 N JEFFERIES BLVD
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City | WALTERBORO
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State | SC
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Zip | 29488-2730
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Country | US
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Telephone | 843-782-5550
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Fax | 843-782-5500
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Provider Business Mailing Address
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Address Line | PO BOX 742
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City | HAMPTON
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State | SC
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Zip | 29924-0742
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Country | US
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Telephone | 843-782-5550
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LAURA JOHNSON
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Credential | RN
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Telephone | 843-782-5550
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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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