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General NPI Number Information
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NPI Number | 1023768421
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Entity Type | Organization
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Legal Business Name | DAVIS RELIABLE HOME HEALTHCARE AGENCY
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 100 S 4TH ST STE 550
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City | SAINT LOUIS
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State | MO
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Zip | 63102-1897
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Country | US
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Telephone | 314-371-8043
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Fax | 314-558-3955
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Provider Business Mailing Address
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Address Line | 100 S 4TH ST STE 550
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City | SAINT LOUIS
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State | MO
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Zip | 63102-1897
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Country | US
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Telephone | 314-371-8043
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Fax | 314-558-3955
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Authorized Official
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Title or Position | OWNER
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Name | LATOYA DAVIS
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Credential |
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Telephone | 314-371-8043
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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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