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General NPI Number Information
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NPI Number | 1003088998
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Entity Type | Organization
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Legal Business Name | CRAIG RESOURCES LLC
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 5661 TELEGRAPH RD STE 5B
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City | SAINT LOUIS
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State | MO
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Zip | 63129-4275
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Country | US
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Telephone | 314-843-0316
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Fax | 314-843-0317
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Provider Business Mailing Address
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Address Line | 1220 E 1ST ST N
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City | WICHITA
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State | KS
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Zip | 67214-3907
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Country | US
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Telephone | 316-266-8717
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Fax | 316-266-8757
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Authorized Official
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Title or Position | VP OF QUALITY AND COMPLIANCE
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Name | MR. JOYCE A BULMAN
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Credential |
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Telephone | 651-789-0926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0009412
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License Number State | MO
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