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General NPI Number Information
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NPI Number | 1992883508
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Entity Type | Organization
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Legal Business Name | PRISCILLA'S HOME NURSING INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 55 KIDS STREET
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City | BRENT
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State | AL
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Zip | 35034
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Country | US
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Telephone | 205-926-9733
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 631
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City | CENTREVILLE
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State | AL
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Zip | 35042-0631
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. PRISCILLA PRINGLE
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Credential |
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Telephone | 205-926-9733
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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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