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General NPI Number Information
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NPI Number | 1063422715
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Entity Type | Organization
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Legal Business Name | BJC HOME CARE SERVICES
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 710 SOUTH BOYLE AVENUE
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City | SAINT LOUIS
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State | MO
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Zip | 63110
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Country | US
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Telephone | 314-953-2000
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Fax | 314-747-1509
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Provider Business Mailing Address
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Address Line | 670 MASON RIDGE CENTER DR STE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8573
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Country | US
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Telephone | 314-953-1615
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Fax | 314-273-0704
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELA MARTIN-DAVIS
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Credential |
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Telephone | 314-206-3712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 054.014084
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 320.006834
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 004857
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License Number State | MO
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