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General NPI Number Information
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NPI Number | 1073051371
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Entity Type | Organization
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Legal Business Name | RUTH & NAOMI ADULT DAY SERVICES, INC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 9443-9445 LACKLAND ROAD
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City | ST. LOUIS
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State | MO
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Zip | 63114
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Country | US
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Telephone | 314-575-8775
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 140054
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City | SAINT LOUIS
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State | MO
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Zip | 63114-0054
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Country | US
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Telephone | 314-575-8775
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TAMARA SCAIFE
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Credential | ANP-C
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Telephone | 314-575-8775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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