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General NPI Number Information
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NPI Number | 1801928825
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Entity Type | Organization
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Legal Business Name | PRECIOUS HOSPITALITY CARE INC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7038 ALANA RD
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City | JACKSONVILLE
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State | FL
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Zip | 32211-4183
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Country | US
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Telephone | 904-318-1127
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Fax | 904-744-2399
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Provider Business Mailing Address
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Address Line | 7038 ALANA RD
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City | JACKSONVILLE
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State | FL
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Zip | 32211-4183
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Country | US
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Telephone | 904-318-1127
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. GENEVIEVE N DOREUS
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Credential |
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Telephone | 904-318-1127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 1334701
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License Number State | FL
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