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General NPI Number Information
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NPI Number | 1275499626
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Entity Type | Organization
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Legal Business Name | BEYOND QUALIFIED HOMECARE LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 3159 FEE FEE RD STE 227
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City | BRIDGETON
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State | MO
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Zip | 63044-3372
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Country | US
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Telephone | 314-887-9711
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Fax | 314-558-3098
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Provider Business Mailing Address
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Address Line | 1825 MULLANPHY LN
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City | FLORISSANT
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State | MO
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Zip | 63031-3635
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Country | US
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Telephone | 314-898-3701
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Fax | 314-558-3068
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Authorized Official
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Title or Position | OWNER
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Name | MS. ROSE MARIE POWELL
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Credential |
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Telephone | 314-898-3701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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