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General NPI Number Information
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NPI Number | 1952353013
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Entity Type | Organization
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Legal Business Name | PRIORITY HOME CARE
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 84 RUTGERS WAY
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City | FREEHOLD
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State | NJ
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Zip | 07728-2992
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Country | US
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Telephone | 732-495-4595
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Fax |
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Provider Business Mailing Address
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Address Line | 84 RUTGERS WAY
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City | FREEHOLD
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State | NJ
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Zip | 07728-2992
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Country | US
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Telephone | 732-495-4595
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. FREDERICK MICHAEL DILL
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Credential | COTA
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Telephone | 732-495-4595
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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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