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General NPI Number Information
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NPI Number | 1790119519
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Entity Type | Organization
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Legal Business Name | PRESSICARE, INC
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 20434 OLD HOUSTON RD
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City | ABERDEEN
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State | MS
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Zip | 39730-8548
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Country | US
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Telephone | 662-369-0070
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Fax | 662-369-1727
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Provider Business Mailing Address
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Address Line | 20434 OLD HOUSTON RD
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City | ABERDEEN
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State | MS
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Zip | 39730-8548
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Country | US
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Telephone | 662-369-0070
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Fax | 662-369-1727
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | CHINA DANETTE JOHNSON
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Credential | RN, BSN
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Telephone | 662-369-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 1016
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License Number State | MS
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