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General NPI Number Information
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NPI Number | 1144543190
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Entity Type | Organization
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Legal Business Name | TRUELOVE'S IN-HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 10446 W FLORISSANT AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63136-2343
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Country | US
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Telephone | 314-867-8865
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Fax | 314-867-8097
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Provider Business Mailing Address
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Address Line | 10446 W FLORISSANT AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63136-2343
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Country | US
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Telephone | 314-867-8865
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Fax | 314-867-8097
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DELORES AE BENNETT
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Credential | LPN
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Telephone | 314-867-8865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 026190
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License Number State | MO
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