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General NPI Number Information
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NPI Number | 1235575796
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Entity Type | Organization
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Legal Business Name | WESTPLEX HOME CARE ENTERPRISES, LLC
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Dates
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Enumeration Date | 05/10/2013
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Last Update Date | 05/10/2013
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Provider Practice Location Address
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Address Line | 202 TRIAD CTR W
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City | O FALLON
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State | MO
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Zip | 63366-7543
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Country | US
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Telephone | 636-695-4422
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Fax | 636-487-0242
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Provider Business Mailing Address
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Address Line | 202 TRIAD CTR W
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City | O FALLON
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State | MO
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Zip | 63366-7543
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Country | US
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Telephone | 636-695-4422
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Fax | 636-487-0242
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JOSEPH DETERS
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Credential |
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Telephone | 636-695-4422
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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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