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General NPI Number Information
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NPI Number | 1730210055
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Entity Type | Organization
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Legal Business Name | PRIME CARE NURSING
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 12/14/2016
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Provider Practice Location Address
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Address Line | 222 ARNOLD AVE
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City | GREENVILLE
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State | MS
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Zip | 38701-4203
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Country | US
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Telephone | 662-335-4298
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Fax | 662-335-8298
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Provider Business Mailing Address
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Address Line | PO BOX 852
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City | GREENVILLE
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State | MS
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Zip | 38702-0852
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Country | US
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Telephone | 662-335-4298
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Fax | 662-335-8298
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANN BARNES
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Credential | RN
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Telephone | 601-849-3019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R513563
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License Number State | MS
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