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General NPI Number Information
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NPI Number | 1245806280
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Entity Type | Organization
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Legal Business Name | MATTIE MAE HELPING HANDS CDS, LLC
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 7777 BONHOMME AVE STE 1800
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City | CLAYTON
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State | MO
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Zip | 63105-1931
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Country | US
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Telephone | 324-997-7144
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Fax |
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Provider Business Mailing Address
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Address Line | 7777 BONHOMME AVE STE 1800
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City | CLAYTON
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State | MO
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Zip | 63105-1931
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Country | US
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Telephone | 324-997-7144
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SABRINA FOSTER
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Credential |
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Telephone | 314-997-7144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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