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General NPI Number Information
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NPI Number | 1184487670
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Entity Type | Organization
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Legal Business Name | PRICE CONSTRUCTION AND RENOVATION LLC
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 320 BROOKES DR STE 227A
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City | HAZELWOOD
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State | MO
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Zip | 63042-2733
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Country | US
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Telephone | 314-514-5548
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Fax | 314-787-4572
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Provider Business Mailing Address
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Address Line | 320 BROOKES DR STE 227A
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City | HAZELWOOD
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State | MO
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Zip | 63042-2733
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Country | US
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Telephone | 314-514-5548
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Fax | 314-787-4572
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHRISTINA DENISE PRICE
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Credential |
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Telephone | 314-514-5548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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