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General NPI Number Information
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NPI Number | 1851317283
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Entity Type | Organization
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Legal Business Name | PRAC HOLDINGS, INC.
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1956 MALL PLACE
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City | BENTON HARBOR
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State | MI
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Zip | 49022-2332
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Country | US
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Telephone | 269-925-3300
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Fax | 269-925-3331
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Provider Business Mailing Address
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Address Line | 801 WARRENVILLE RD STE 800
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City | LISLE
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State | IL
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Zip | 60532-0912
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Country | US
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Telephone | 630-296-3400
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Fax |
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Authorized Official
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Title or Position | EVP, CHIEF STRATEGY OFFICER
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Name | DARBY ANDERSON
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Credential |
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Telephone | 630-296-3443
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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