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General NPI Number Information
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NPI Number | 1154988913
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Entity Type | Organization
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Legal Business Name | CHOICE CARE
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 107 HARVESTER CT
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City | SAINT PETERS
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State | MO
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Zip | 63303-5691
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Country | US
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Telephone | 636-928-0488
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Fax | 636-922-1088
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Provider Business Mailing Address
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Address Line | 107 HARVESTER CT
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City | SAINT PETERS
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State | MO
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Zip | 63303-5691
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Country | US
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Telephone | 636-928-0488
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Fax | 636-922-1088
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GERALD KEITH HINTON
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Credential |
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Telephone | 636-928-0488
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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 |
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License Number State |
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