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General NPI Number Information
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NPI Number | 1669969473
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Entity Type | Organization
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Legal Business Name | PREMIERE BUSINESS PURSUITS
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 3604 FERNANDINA RD STE 203B
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City | COLUMBIA
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State | SC
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Zip | 29210-5221
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Country | US
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Telephone | 803-618-3167
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Fax | 803-232-9883
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Provider Business Mailing Address
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Address Line | 7821 SAINT ANDREWS RD UNIT 841
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City | IRMO
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State | SC
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Zip | 29063-4066
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Country | US
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Telephone | 803-618-3167
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Fax | 803-232-9883
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | JENYFER ROGERS
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Credential |
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Telephone | 803-618-3167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #12
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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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