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General NPI Number Information
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NPI Number | 1043581051
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Entity Type | Organization
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Legal Business Name | A PARTNER IN CARE LLC
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 48 MEADOWBROOK C C EST
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City | BALLWIN
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State | MO
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Zip | 63011-1699
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Country | US
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Telephone | 314-229-1890
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Fax | 636-527-8087
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Provider Business Mailing Address
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Address Line | 48 MEADOWBROOK C C EST
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City | BALLWIN
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State | MO
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Zip | 63011-1699
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Country | US
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Telephone | 314-229-1890
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Fax | 636-527-8087
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Authorized Official
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Title or Position | OWNER
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Name | BRUCE WOODWORTH FRANKLIN
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Credential |
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Telephone | 314-229-1890
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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 | 21393265
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License Number State | MO
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