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General NPI Number Information
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NPI Number | 1740488923
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Entity Type | Organization
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Legal Business Name | PREMEIRE HOME HEALTH SERVICES
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 1019 S MAIN ST STE 108
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City | DUNCANVILLE
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State | TX
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Zip | 75137-2459
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Country | US
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Telephone | 972-709-7702
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Fax | 972-709-7708
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Provider Business Mailing Address
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Address Line | 1019 S MAIN ST STE 108
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City | DUNCANVILLE
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State | TX
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Zip | 75137-2459
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Country | US
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Telephone | 972-709-7702
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Fax | 972-709-7708
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Authorized Official
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Title or Position | OWNER
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Name | FRED WAITHAKA KIONI
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Credential |
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Telephone | 972-891-5015
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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 | 011187
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License Number State | TX
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