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General NPI Number Information
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NPI Number | 1073042891
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Entity Type | Organization
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Legal Business Name | HARMONY AT HOME CDS LLC
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 06/06/2017
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Provider Practice Location Address
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Address Line | 1480 WOODSTONE DR STE 109
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City | SAINT CHARLES
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State | MO
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Zip | 63304-6872
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Country | US
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Telephone | 636-578-0281
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Fax |
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Provider Business Mailing Address
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Address Line | 4009 SHERMAN PARK DR
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3997
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Country | US
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Telephone | 636-578-0281
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JOSE JONES
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Credential |
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Telephone | 636-578-0281
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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 | LC001533848
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License Number State | MO
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