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General NPI Number Information
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NPI Number | 1043679228
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Entity Type | Organization
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Legal Business Name | A PLUS IN-HOME WELLNESS LLC
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 400 N 5TH ST STE 105
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City | SAINT CHARLES
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State | MO
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Zip | 63301-1800
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Country | US
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Telephone | 314-594-9938
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Fax | 314-594-5806
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Provider Business Mailing Address
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Address Line | 400 N 5TH STREET STE 105
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City | ST CHARLES
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State | MO
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Zip | 63301
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Country | UM
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Telephone | 314-594-9938
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Fax | 314-594-5806
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | KIMBERLY FIELDS
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Credential |
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Telephone | 314-594-9938
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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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