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General NPI Number Information
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NPI Number | 1053853747
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Entity Type | Organization
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Legal Business Name | WINDOWS OF LOVE, LLC
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Dates
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Enumeration Date | 11/11/2016
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Last Update Date | 12/16/2016
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Provider Practice Location Address
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Address Line | 4144 LINDELL BLVD SUITE 102
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2927
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Country | US
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Telephone | 314-484-9630
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 HEBERT ST
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City | SAINT LOUIS
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State | MO
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Zip | 63107-3815
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Country | US
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Telephone | 314-484-9630
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. TAMECA BURNETT
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Credential |
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Telephone | 314-484-9630
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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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