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General NPI Number Information
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NPI Number | 1982946745
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Entity Type | Organization
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Legal Business Name | 1ST PRIORITY HOME HEALTH CARE ASSISTANCE LLC
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 6123 E 137TH ST
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City | GRANDVIEW
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State | MO
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Zip | 64030-3718
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Country | US
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Telephone | 816-966-9627
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Fax |
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Provider Business Mailing Address
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Address Line | 6123 E. 37TH STREET
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City | GRANDVIEW
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State | MO
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Zip | 64030-0000
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Country | US
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Telephone | 816-966-9627
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS ANNA L JOHNSON
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Credential |
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Telephone | 816-966-9627
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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 | LC123589
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License Number State | MO
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