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General NPI Number Information
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NPI Number | 1780622142
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH SERVICES INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7600 GEORGIA AVE NW #323
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City | WASHINGTON
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State | DC
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Zip | 20012-1616
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Country | US
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Telephone | 202-723-3060
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Fax | 202-723-3065
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Provider Business Mailing Address
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Address Line | 7600 GEORGIA AVE NW #323
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City | WASHINGTON
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State | DC
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Zip | 20012-1616
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Country | US
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Telephone | 202-723-3060
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Fax | 202-723-3065
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Authorized Official
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Title or Position | PRESIDENT
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Name | IJEOMA U ARUNGWA
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Credential |
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Telephone | 202-723-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | -66001743
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License Number State | DC
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