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General NPI Number Information
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NPI Number | 1053983270
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Entity Type | Organization
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Legal Business Name | AGAPE HELPING HANDS LLC
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 745 CRAIG RD STE 208C
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City | CREVE COEUR
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State | MO
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Zip | 63141-7122
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Country | US
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Telephone | 314-549-3647
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Fax |
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Provider Business Mailing Address
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Address Line | 1139 HILLTOP DR
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City | SAINT LOUIS
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State | MO
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Zip | 63132-2416
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Country | US
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Telephone | 314-215-9574
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATONYA NICOLE THEDFORD
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Credential |
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Telephone | 314-215-9574
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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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