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General NPI Number Information
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NPI Number | 1033973409
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Entity Type | Organization
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Legal Business Name | PEOPLES HEALTHCARE STL 2 LLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 6 CARDINAL WAY STE 900
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City | SAINT LOUIS
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State | MO
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Zip | 63102-2807
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Country | US
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Telephone | 314-898-3809
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Fax | 314-820-1222
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Provider Business Mailing Address
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Address Line | 6 CARDINAL WAY STE 900
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City | SAINT LOUIS
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State | MO
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Zip | 63102-2807
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Country | US
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Telephone | 314-898-3809
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Fax | 314-820-1222
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Authorized Official
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Title or Position | DIRECTOR
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Name | QUINCY PEOPLES
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Credential |
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Telephone | 314-898-3809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 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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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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