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General NPI Number Information
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NPI Number | 1700167319
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH CARE, LLC
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 2843 STAGE CENTER DR. SUITE 4
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City | BARTLETT
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State | TN
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Zip | 38134-5426
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Country | US
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Telephone | 901-388-2228
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Fax | 901-388-2219
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Provider Business Mailing Address
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Address Line | 2843 STAGE CENTER DR. SUITE 4
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City | BARTLETT
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State | TN
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Zip | 38134-5426
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Country | US
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Telephone | 901-388-2228
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Fax | 901-388-2219
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Authorized Official
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Title or Position | CEO
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Name | MS. CATONDRIA BROWN
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Credential |
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Telephone | 901-388-2228
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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 | 000000005426
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License Number State | TN
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