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General NPI Number Information
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NPI Number | 1730579871
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Entity Type | Organization
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Legal Business Name | PREMIER HOME HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 01/28/2015
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Last Update Date | 01/28/2015
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Provider Practice Location Address
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Address Line | 777 SUMMER ST STE 404
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City | STAMFORD
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State | CT
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Zip | 06901-1027
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Country | US
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Telephone | 203-348-8488
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Fax | 203-358-9413
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Provider Business Mailing Address
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Address Line | 445 HAMILTON AVE FL 10
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City | WHITE PLAINS
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State | NY
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Zip | 10601-1831
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Country | US
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Telephone | 914-428-7722
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Fax | 914-428-2404
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. GREGORY TURCHAN
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Credential | MSW MPA
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Telephone | 914-428-7722
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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 | 9915739
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License Number State | CT
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