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General NPI Number Information
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NPI Number | 1134587728
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Entity Type | Organization
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Legal Business Name | AWESOME APPROACHES 2 CARE CDS, LLC
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 1360 S 5TH ST
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2449
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Country | US
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Telephone | 636-410-8187
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Fax | 636-410-8188
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Provider Business Mailing Address
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Address Line | 1360 S 5TH ST
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2449
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Country | US
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Telephone | 636-410-8187
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Fax | 636-410-8188
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Authorized Official
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Title or Position | OPERATING MANAGER
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Name | MRS. ADRIENNE TATUM
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Credential |
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Telephone | 314-323-9741
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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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