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General NPI Number Information
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NPI Number | 1285377028
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Entity Type | Organization
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Legal Business Name | EPIDEME ENTERPRISE HEALTHCARE LLC
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 100 CHESTERFIELD BUSINESS PKWY STE 200
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1271
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Country | US
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Telephone | 314-485-9575
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Fax |
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Provider Business Mailing Address
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Address Line | 2927 WILLOW CREEK ESTATES DR
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City | FLORISSANT
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State | MO
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Zip | 63031-1665
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Country | US
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Telephone | 314-283-2415
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EARNIECIA BRADLEY
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Credential |
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Telephone | 314-283-2415
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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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