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General NPI Number Information
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NPI Number | 1003457425
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Entity Type | Organization
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Legal Business Name | CARING HEARTS HOMECARE OF SOUTHEAST MISSOURI LLC
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 507 N WALNUT ST
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City | DEXTER
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State | MO
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Zip | 63841-1707
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Country | US
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Telephone | 573-624-9100
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Fax | 573-624-9947
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Provider Business Mailing Address
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Address Line | PO BOX 211
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City | DEXTER
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State | MO
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Zip | 63841-0211
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Country | US
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Telephone | 573-624-9100
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Fax | 573-624-9947
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Authorized Official
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Title or Position | AGENCY DIRECTOR / MEMBER
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Name | KARYN RENEE GRIFFIN
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Credential |
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Telephone | 573-624-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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