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General NPI Number Information
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NPI Number | 1154184216
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Entity Type | Organization
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Legal Business Name | IIIKINGZ LLC
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 400 CHESTERFIELD CTR STE 400
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City | CHESTERFIELD
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State | MO
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Zip | 63017-4800
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Country | US
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Telephone | 630-808-8809
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CHESTERFIELD CTR STE 400
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City | CHESTERFIELD
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State | MO
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Zip | 63017-4800
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Country | US
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Telephone | 630-808-8809
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. L LUPE IVES KING
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Credential |
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Telephone | 630-808-8809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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