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General NPI Number Information
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NPI Number | 1902841000
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Entity Type | Organization
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Legal Business Name | PREMIER HOME HEALTH INC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 487A NORTH MAIN ST SUITE #2
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City | THAYNE
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State | WY
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Zip | 83127
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Country | US
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Telephone | 307-883-5500
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Fax | 307-883-5501
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Provider Business Mailing Address
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Address Line | PO BOX 999
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City | THAYNE
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State | WY
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Zip | 83127
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Country | US
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Telephone | 307-883-5500
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Fax | 307-883-5501
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CATHERINE E COLE
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Credential | RN
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Telephone | 307-883-5500
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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 | 06202
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License Number State | WY
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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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