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General NPI Number Information
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NPI Number | 1720654080
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Entity Type | Organization
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Legal Business Name | PRIMEX HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 910 MONTEREY ST STE 206
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City | HOLLISTER
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State | CA
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Zip | 95023-4671
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Country | US
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Telephone | 408-772-7146
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Fax | 408-735-7447
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Provider Business Mailing Address
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Address Line | 910 MONTEREY ST STE 206
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City | HOLLISTER
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State | CA
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Zip | 95023-4671
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Country | US
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Telephone | 408-772-7146
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Fax | 408-735-7447
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN EPIE SONA
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Credential |
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Telephone | 408-772-7146
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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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