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General NPI Number Information
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NPI Number | 1245893395
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Entity Type | Organization
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Legal Business Name | BECTON BRIDGE TO CARE LLC
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 3840 WASHINGTON BLVD STE 217
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3406
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Country | US
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Telephone | 469-708-6427
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Fax |
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Provider Business Mailing Address
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Address Line | 4434 BLAIR AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63107-1907
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Country | US
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Telephone | 469-708-6427
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Fax | 314-449-6315
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Authorized Official
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Title or Position | OWNER
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Name | LONNA BECTON
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Credential |
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Telephone | 469-708-6427
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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 |
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