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General NPI Number Information
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NPI Number | 1972317584
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Entity Type | Organization
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Legal Business Name | PRIORITY HEALTH HOME CARE AGENCY, LLC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 5-11 SADDLE RIVER RD STE 5
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City | FAIR LAWN
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State | NJ
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Zip | 07410-5636
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Country | US
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Telephone | 201-604-8170
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Fax | 201-604-0066
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Provider Business Mailing Address
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Address Line | 5-11 SADDLE RIVER RD STE 5
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City | FAIR LAWN
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State | NJ
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Zip | 07410-5636
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Country | US
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Telephone | 201-604-8170
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Fax | 201-604-0066
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Authorized Official
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Title or Position | CEO
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Name | JOSE J VALDEZ
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Credential |
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Telephone | 862-262-3770
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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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