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General NPI Number Information
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NPI Number | 1245521327
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Entity Type | Organization
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Legal Business Name | CARE OPTIONS ONE, LC
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 3624 N SPRING AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63107-2220
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Country | US
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Telephone | 314-652-2552
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Fax | 314-652-2599
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Provider Business Mailing Address
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Address Line | 2819 UNION BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63115-1002
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Country | US
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Telephone | 314-652-2552
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Fax | 314-652-2599
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Authorized Official
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Title or Position | CEO / OWNER
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Name | MS. BARBARA D SMITH-MILLER
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Credential |
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Telephone | 314-652-2552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 931
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License Number State | MO
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