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General NPI Number Information
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NPI Number | 1154742161
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Entity Type | Organization
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Legal Business Name | AUREUS HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 61 DOCTORS PARK
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4927
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Country | US
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Telephone | 573-339-1999
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Fax | 573-335-7233
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Provider Business Mailing Address
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Address Line | 61 DOCTORS PARK
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4927
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Country | US
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Telephone | 573-339-1999
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Fax | 573-335-7233
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL A NAMETH
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Credential |
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Telephone | 516-249-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 2013044141
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License Number State | MO
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