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General NPI Number Information
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NPI Number | 1194988014
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Entity Type | Organization
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Legal Business Name | ADVANCED NURSING CONSULTANTS LLC
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2880 NETHERTON DRIVE SUITE 102
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City | SAINT LOUIS
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State | MO
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Zip | 63136-4649
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Country | US
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Telephone | 314-837-2002
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Fax | 314-741-6120
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Provider Business Mailing Address
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Address Line | 2880 NETHERTON DRIVE SUITE 102
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City | ST LOUIS
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State | MO
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Zip | 63136-4649
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Country | US
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Telephone | 314-837-2002
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Fax | 314-741-6120
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Authorized Official
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Title or Position | CHIEF EXEC OFFICER
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Name | MRS. LAILA Q AATEN WHITE
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Credential | RN,BSN, MM
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Telephone | 314-837-2002
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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 | MO
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