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General NPI Number Information
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NPI Number | 1144958687
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Entity Type | Organization
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Legal Business Name | ANGELS OF ST LOUIS LLC
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 12/30/2022
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Provider Practice Location Address
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Address Line | 14850 CLAYTON RD
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City | CHESTERFIELD
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State | MO
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Zip | 63017-7886
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Country | US
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Telephone | 636-386-5067
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Fax | 636-386-5068
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Provider Business Mailing Address
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Address Line | 14850 CLAYTON RD
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City | CHESTERFIELD
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State | MO
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Zip | 63017-7886
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Country | US
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Telephone | 636-386-5067
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Fax | 636-386-5068
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Authorized Official
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Title or Position | OWNER, ADMINISTRATOR
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Name | MS. LAURA L BROOKS
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Credential | RN
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Telephone | 636-386-5067
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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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