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General NPI Number Information
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NPI Number | 1144460247
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Entity Type | Organization
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Legal Business Name | LEAN ON ME IN HOME HEALTHCARE
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 9418 HALLS FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63136-5138
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Country | US
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Telephone | 314-766-5326
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Fax | 314-667-3439
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Provider Business Mailing Address
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Address Line | 9418 HALLS FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63136-5138
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Country | US
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Telephone | 314-766-5326
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Fax | 314-667-3439
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. REGINA CARMELL BROOKFIELD
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Credential |
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Telephone | 314-766-5326
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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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